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 $44.67 Median $93.33 Typical High $204.17 | Facility | None | $44.67 | $93.33 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $43.65 | Professional | None | $29.51 | $33.11 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $131.83 Typical High $199.53 | Facility | None | $46.77 | $131.83 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $91.20 | Professional | None | $18.62 | $30.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $44.67 Typical High $134.90 | Facility | None | $23.44 | $44.67 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $23.44 Typical High $63.10 | Professional | None | $11.75 | $23.44 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $53.70 | Facility | None | $31.62 | $35.48 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $169.82 | Professional | None | $35.48 | $64.57 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $93.33 | Facility | None | $43.65 | $81.28 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | None | $30.90 | $30.90 | $43.65 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $32.36 | Professional | None | $10.72 | $18.62 | $32.36 |
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 $14.79 Median $16.60 Typical High $21.88 | Professional | 52 · Reduced service | $14.79 | $16.60 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $8.71 | Professional | 53 · Discontinued | $5.89 | $6.76 | $8.71 |
Where Colorado sits
The same service costs 5.6 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· 14th of 51
$43.65
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.