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 $234.42 | Facility | None | $51.29 | $107.15 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | None | $38.90 | $38.90 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $154.88 Typical High $234.42 | Facility | None | $53.70 | $154.88 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $112.20 | Professional | None | $21.38 | $21.38 | $112.20 |
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 $30.90 Typical High $74.13 | Professional | None | $23.99 | $30.90 | $74.13 |
Denver HMP Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $64.57 | Facility | None | $38.90 | $45.71 | $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 $35.48 Median $51.29 Typical High $75.86 | Professional | None | $35.48 | $51.29 | $75.86 |
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 $19.05 Median $19.50 Typical High $29.51 | Professional | 52 · Reduced service | $19.05 | $19.50 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $11.75 | Professional | 53 · Discontinued | $7.59 | $7.76 | $11.75 |
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· 6th of 51
$67.61
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.