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 $29.51 Median $67.61 Typical High $134.90 | Facility | None | $29.51 | $67.61 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $53.70 | Professional | None | $25.70 | $29.51 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $177.83 | Facility | None | $40.74 | $114.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $79.43 | Professional | None | $16.22 | $26.30 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $46.77 Typical High $117.49 | Facility | None | $22.39 | $46.77 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $54.95 | Professional | None | $19.95 | $28.18 | $54.95 |
Denver HMP Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $77.62 | Facility | None | $29.51 | $41.69 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $151.36 | Professional | None | $30.90 | $56.23 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $70.79 Typical High $81.28 | Facility | None | $38.90 | $70.79 | $81.28 |
Select Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | None | $26.92 | $26.92 | $38.90 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $30.20 | Professional | None | $16.22 | $22.91 | $30.20 |
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 $14.45 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $14.45 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $7.76 | Professional | 53 · Discontinued | $5.75 | $5.89 | $7.76 |
Where Colorado sits
The same service costs 4.7 times more in Alaska 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· 27th of 51
$40.74
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.