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 $39.81 Median $83.18 Typical High $181.97 | Facility | None | $39.81 | $83.18 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $75.86 | Professional | None | $29.51 | $30.20 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $117.49 Typical High $181.97 | Facility | None | $41.69 | $117.49 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $87.10 | Professional | None | $16.60 | $16.60 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $47.86 Typical High $125.89 | Facility | None | $22.91 | $47.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $57.54 | Professional | None | $18.20 | $28.84 | $57.54 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $48.98 | Facility | None | $30.20 | $35.48 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $83.18 | Professional | None | $38.90 | $56.23 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $83.18 | Facility | None | $38.90 | $72.44 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $58.88 | Professional | None | $27.54 | $38.90 | $58.88 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $28.84 | Professional | None | $16.60 | $16.60 | $28.84 |
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 $14.79 Median $14.79 Typical High $38.02 | Professional | 52 · Reduced service | $14.79 | $14.79 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.03 Typical High $15.49 | Professional | 53 · Discontinued | $5.89 | $6.03 | $15.49 |
Where Colorado sits
The same service costs 6.6 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· 10th of 51
$52.48
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.