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 $47.86 Median $100.00 Typical High $218.78 | Facility | None | $47.86 | $100.00 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $91.20 | Professional | None | $35.48 | $36.31 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $141.25 Typical High $218.78 | Facility | None | $50.12 | $141.25 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $104.71 | Professional | None | $19.95 | $19.95 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $57.54 Typical High $147.91 | Facility | None | $27.54 | $57.54 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $69.18 | Professional | None | $21.88 | $34.67 | $69.18 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $58.88 | Facility | None | $36.31 | $42.66 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $120.23 | Professional | None | $46.77 | $67.61 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $100.00 | Facility | None | $46.77 | $87.10 | $100.00 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $70.79 | Professional | None | $33.11 | $46.77 | $70.79 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $34.67 | Professional | None | $19.95 | $19.95 | $34.67 |
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 $17.78 Median $17.78 Typical High $45.71 | Professional | 52 · Reduced service | $17.78 | $17.78 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $18.62 | Professional | 53 · Discontinued | $7.08 | $7.24 | $18.62 |
Where Colorado sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 12th of 51
$63.10
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.