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 $64.57 Median $134.90 Typical High $295.12 | Facility | None | $64.57 | $134.90 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | None | $48.98 | $48.98 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $190.55 Typical High $295.12 | Facility | None | $67.61 | $190.55 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $141.25 | Professional | None | $26.92 | $26.92 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $77.62 Typical High $204.17 | Facility | None | $37.15 | $77.62 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $93.33 | Professional | None | $29.51 | $33.88 | $93.33 |
Denver HMP Setting Facility Modifier None Typical Low $48.98 Median $57.54 Typical High $79.43 | Facility | None | $48.98 | $57.54 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $162.18 | Professional | None | $64.57 | $91.20 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $134.90 | Facility | None | $64.57 | $117.49 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $95.50 | Professional | None | $44.67 | $64.57 | $95.50 |
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 $26.92 Median $26.92 Typical High $47.86 | Professional | None | $26.92 | $26.92 | $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 $23.99 Median $24.55 Typical High $33.88 | Professional | 52 · Reduced service | $23.99 | $24.55 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.77 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $9.77 | $13.80 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$85.11
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.