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 $48.98 Median $112.20 Typical High $223.87 | Facility | None | $48.98 | $112.20 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $89.13 | Professional | None | $42.66 | $48.98 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $194.98 Typical High $295.12 | Facility | None | $67.61 | $194.98 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $44.67 Typical High $131.83 | Professional | None | $26.92 | $44.67 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $77.62 Typical High $194.98 | Facility | None | $38.02 | $77.62 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $93.33 | Professional | None | $33.11 | $47.86 | $93.33 |
Denver HMP Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $125.89 | Facility | None | $48.98 | $64.57 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $251.19 | Professional | None | $51.29 | $93.33 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $134.90 | Facility | None | $64.57 | $120.23 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | None | $44.67 | $44.67 | $64.57 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $51.29 | Professional | None | $26.92 | $38.02 | $51.29 |
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 $23.99 Median $24.55 Typical High $32.36 | Professional | 52 · Reduced service | $23.99 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.77 Typical High $12.88 | Professional | 53 · Discontinued | $9.55 | $9.77 | $12.88 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 24th of 51
$70.79
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.