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 $95.50 Median $199.53 Typical High $436.52 | Facility | None | $95.50 | $199.53 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $100.00 | Professional | None | $70.79 | $72.44 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $281.84 Typical High $436.52 | Facility | None | $100.00 | $281.84 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $208.93 | Professional | None | $39.81 | $39.81 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $302.00 | Facility | None | $54.95 | $114.82 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $138.04 | Professional | None | $45.71 | $56.23 | $138.04 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $165.96 | Facility | None | $72.44 | $91.20 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $239.88 | Professional | None | $95.50 | $134.90 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $199.53 | Facility | None | $95.50 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $141.25 | Professional | None | $66.07 | $95.50 | $141.25 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $70.79 | Professional | None | $39.81 | $52.48 | $70.79 |
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 $35.48 Median $36.31 Typical High $50.12 | Professional | 52 · Reduced service | $35.48 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.45 | $19.95 |
Where Colorado sits
The same service costs 3.5 times more in Kansas than in Alabama. 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· 8th of 51
$126
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.