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 $12.88 Median $30.20 Typical High $79.43 | Facility | None | $12.88 | $30.20 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $16.98 | Professional | None | $10.72 | $12.88 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $51.29 Typical High $77.62 | Facility | None | $18.20 | $51.29 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $35.48 | Professional | None | $7.24 | $11.75 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $20.89 Typical High $52.48 | Facility | None | $10.00 | $20.89 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $24.55 | Professional | None | $8.91 | $12.30 | $24.55 |
Denver HMP Setting Facility Modifier None Typical Low $12.88 Median $16.60 Typical High $34.67 | Facility | None | $12.88 | $16.60 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $36.31 | Professional | None | $13.80 | $24.55 | $36.31 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $36.31 | Facility | None | $16.98 | $31.62 | $36.31 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | None | $12.02 | $12.02 | $16.98 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $12.59 | Professional | None | $7.24 | $10.00 | $12.59 |
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 $6.46 Median $6.46 Typical High $8.51 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.39 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.39 |
Where Colorado sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 25th of 51
$17.78
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.