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 $32.36 Median $64.57 Typical High $147.91 | Facility | None | $32.36 | $64.57 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | None | $20.42 | $24.55 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $97.72 Typical High $147.91 | Facility | None | $33.88 | $97.72 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $66.07 | Professional | None | $13.49 | $22.39 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $38.90 Typical High $97.72 | Facility | None | $19.05 | $38.90 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $46.77 | Professional | None | $16.60 | $23.44 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $24.55 Median $35.48 Typical High $64.57 | Facility | None | $24.55 | $35.48 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $46.77 Typical High $67.61 | Professional | None | $25.70 | $46.77 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $67.61 | Facility | None | $32.36 | $60.26 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | None | $22.39 | $22.39 | $32.36 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.05 Typical High $25.70 | Professional | None | $13.49 | $19.05 | $25.70 |
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 $12.02 Median $12.30 Typical High $16.22 | Professional | 52 · Reduced service | $12.02 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.90 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $4.90 | $6.46 |
Where Colorado sits
The same service costs 4.1 times more in Kansas 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· 28th of 51
$32.36
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.