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 $16.98 Median $46.77 Typical High $102.33 | Facility | None | $16.98 | $46.77 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $22.39 | Professional | None | $14.13 | $16.98 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $66.07 Typical High $102.33 | Facility | None | $25.12 | $66.07 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $45.71 | Professional | None | $9.33 | $15.14 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $26.92 Typical High $67.61 | Facility | None | $12.88 | $26.92 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $32.36 | Professional | None | $10.72 | $15.14 | $32.36 |
Denver HMP Setting Facility Modifier None Typical Low $16.98 Median $22.91 Typical High $37.15 | Facility | None | $16.98 | $22.91 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $32.36 Typical High $87.10 | Professional | None | $17.78 | $32.36 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $22.39 Median $40.74 Typical High $46.77 | Facility | None | $22.39 | $40.74 | $46.77 |
Select Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $22.39 | Professional | None | $15.49 | $15.49 | $22.39 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $16.60 | Professional | None | $9.33 | $10.72 | $16.60 |
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 $8.13 Median $8.51 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $8.51 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.39 Typical High $4.47 | Professional | 53 · Discontinued | $3.31 | $3.39 | $4.47 |
Where Colorado sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 23rd of 51
$22.39
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.