How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $234.42 | Facility | None | $50.12 | $107.15 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $51.29 | Professional | None | $35.48 | $38.02 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $151.36 Typical High $229.09 | Facility | None | $53.70 | $151.36 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $104.71 | Professional | None | $21.38 | $34.67 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $60.26 Typical High $154.88 | Facility | None | $29.51 | $60.26 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $72.44 | Professional | None | $25.70 | $37.15 | $72.44 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $100.00 | Facility | None | $38.02 | $54.95 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $194.98 | Professional | None | $40.74 | $72.44 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $104.71 | Facility | None | $50.12 | $93.33 | $104.71 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | None | $35.48 | $35.48 | $50.12 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $37.15 | Professional | None | $21.38 | $29.51 | $37.15 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 52 · Reduced service | $19.05 | $19.05 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $10.23 | Professional | 53 · Discontinued | $7.59 | $7.59 | $10.23 |
Where Colorado sits
The same service costs 3.8 times more in Kansas than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 20th of 51
$54.95
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.