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 $46.77 Median $97.72 Typical High $213.80 | Facility | None | $46.77 | $97.72 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $48.98 | Professional | None | $34.67 | $35.48 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $141.25 Typical High $213.80 | Facility | None | $48.98 | $141.25 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $102.33 | Professional | None | $19.50 | $19.50 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $56.23 Typical High $147.91 | Facility | None | $27.54 | $56.23 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $67.61 | Professional | None | $22.39 | $26.30 | $67.61 |
Denver HMP Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $72.44 | Facility | None | $35.48 | $42.66 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $120.23 | Professional | None | $46.77 | $66.07 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $97.72 | Facility | None | $46.77 | $87.10 | $97.72 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $69.18 | Professional | None | $32.36 | $46.77 | $69.18 |
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 $19.50 Median $24.55 Typical High $34.67 | Professional | None | $19.50 | $24.55 | $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 $17.38 Median $17.78 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $17.78 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $9.77 | Professional | 53 · Discontinued | $6.92 | $7.08 | $9.77 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 7th of 51
$61.66
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.