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 $51.29 Median $107.15 Typical High $239.88 | Facility | None | $51.29 | $107.15 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $100.00 | Professional | None | $38.90 | $38.90 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $154.88 Typical High $234.42 | Facility | None | $54.95 | $154.88 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $114.82 | Professional | None | $21.38 | $21.38 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $61.66 Typical High $162.18 | Facility | None | $30.20 | $61.66 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $75.86 | Professional | None | $23.99 | $38.02 | $75.86 |
Denver HMP Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $64.57 | Facility | None | $38.90 | $46.77 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $131.83 | Professional | None | $51.29 | $72.44 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $107.15 | Facility | None | $51.29 | $95.50 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $77.62 | Professional | None | $36.31 | $51.29 | $77.62 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $38.02 | Professional | None | $21.38 | $21.38 | $38.02 |
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 $19.50 Median $19.50 Typical High $50.12 | Professional | 52 · Reduced service | $19.50 | $19.50 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $19.95 | Professional | 53 · Discontinued | $7.76 | $7.76 | $19.95 |
Where Colorado sits
The same service costs 6.0 times more in California 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· 9th of 51
$69.18
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.