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 $57.54 Median $120.23 Typical High $263.03 | Facility | None | $57.54 | $120.23 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $87.10 | Professional | None | $42.66 | $43.65 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $169.82 Typical High $263.03 | Facility | None | $60.26 | $169.82 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $125.89 | Professional | None | $23.99 | $23.99 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $69.18 Typical High $177.83 | Facility | None | $33.11 | $69.18 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $83.18 | Professional | None | $26.30 | $39.81 | $83.18 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $70.79 | Facility | None | $43.65 | $51.29 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $131.83 | Professional | None | $53.70 | $81.28 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $120.23 | Facility | None | $57.54 | $104.71 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $85.11 | Professional | None | $39.81 | $57.54 | $85.11 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | None | $23.99 | $23.99 | $42.66 |
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 $21.38 Median $21.88 Typical High $43.65 | Professional | 52 · Reduced service | $21.38 | $21.88 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $17.78 | Professional | 53 · Discontinued | $8.51 | $8.71 | $17.78 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 8th of 51
$75.86
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.