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 $18.20 Median $41.69 Typical High $85.11 | Facility | None | $18.20 | $41.69 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $23.99 | Professional | None | $16.22 | $18.20 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $72.44 Typical High $109.65 | Facility | None | $25.70 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $50.12 | Professional | None | $10.23 | $16.60 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $29.51 Typical High $74.13 | Facility | None | $14.13 | $29.51 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $34.67 | Professional | None | $12.30 | $17.78 | $34.67 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $48.98 | Facility | None | $18.20 | $26.30 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $93.33 | Professional | None | $19.50 | $34.67 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $44.67 Typical High $51.29 | Facility | None | $23.99 | $44.67 | $51.29 |
Select Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | None | $16.98 | $16.98 | $23.99 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $17.78 | Professional | None | $10.23 | $14.13 | $17.78 |
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 $9.12 Median $9.12 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.72 | $4.90 |
Where Colorado sits
The same service costs 3.0 times more in Alaska 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· 19th of 51
$25.70
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.