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 $26.92 Median $48.98 Typical High $128.82 | Facility | None | $26.92 | $48.98 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $28.18 | Professional | None | $14.79 | $21.38 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $83.18 Typical High $128.82 | Facility | None | $31.62 | $83.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $19.05 Typical High $57.54 | Professional | None | $11.75 | $19.05 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $19.50 Typical High $87.10 | Facility | None | $14.79 | $19.50 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $39.81 | Professional | None | $13.18 | $19.05 | $39.81 |
Denver HMP Setting Facility Modifier None Typical Low $21.38 Median $25.12 Typical High $37.15 | Facility | None | $21.38 | $25.12 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $40.74 Typical High $109.65 | Professional | None | $22.39 | $40.74 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $28.18 Median $51.29 Typical High $58.88 | Facility | None | $28.18 | $51.29 | $58.88 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | None | $19.50 | $19.50 | $28.18 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $20.89 | Professional | None | $11.75 | $11.75 | $20.89 |
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 $9.77 Median $10.72 Typical High $14.13 | Professional | 52 · Reduced service | $9.77 | $10.72 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $5.62 | Professional | 53 · Discontinued | $3.89 | $4.27 | $5.62 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 15th of 51
$28.18
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.