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 $54.95 Median $151.36 Typical High $331.13 | Facility | None | $54.95 | $151.36 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $72.44 | Professional | None | $47.86 | $54.95 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $218.78 Typical High $331.13 | Facility | None | $75.86 | $218.78 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $147.91 | Professional | None | $30.20 | $50.12 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $87.10 Typical High $229.09 | Facility | None | $38.90 | $87.10 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $104.71 | Professional | None | $33.88 | $48.98 | $104.71 |
Denver HMP Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $89.13 | Facility | None | $54.95 | $64.57 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $104.71 Typical High $281.84 | Professional | None | $57.54 | $104.71 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $151.36 | Facility | None | $72.44 | $134.90 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | None | $50.12 | $50.12 | $72.44 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | None | $30.20 | $30.20 | $53.70 |
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 $25.12 Median $27.54 Typical High $36.31 | Professional | 52 · Reduced service | $25.12 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $14.45 | Professional | 53 · Discontinued | $10.00 | $10.96 | $14.45 |
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· 15th of 51
$74.13
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.