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 $114.82 Typical High $302.00 | Facility | None | $50.12 | $114.82 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $91.20 | Professional | None | $48.98 | $50.12 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $194.98 Typical High $302.00 | Facility | None | $69.18 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $144.54 | Professional | None | $27.54 | $27.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $79.43 Typical High $204.17 | Facility | None | $38.02 | $79.43 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $95.50 | Professional | None | $31.62 | $40.74 | $95.50 |
Denver HMP Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $109.65 | Facility | None | $50.12 | $63.10 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $165.96 | Professional | None | $66.07 | $93.33 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $120.23 Typical High $138.04 | Facility | None | $66.07 | $120.23 | $138.04 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $97.72 | Professional | None | $45.71 | $66.07 | $97.72 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $47.86 | Professional | None | $27.54 | $37.15 | $47.86 |
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 $24.55 Median $25.12 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $13.80 | Professional | 53 · Discontinued | $9.77 | $10.00 | $13.80 |
Where Colorado sits
The same service costs 4.8 times more in Kansas than in Illinois. 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· 13th of 51
$87.10
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.