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 $21.88 Median $33.88 Typical High $44.67 | Professional | None | $21.88 | $33.88 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $131.83 Typical High $204.17 | Facility | None | $46.77 | $131.83 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $44.67 Typical High $91.20 | Professional | None | $26.92 | $44.67 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $134.90 | Facility | None | $23.44 | $42.66 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $63.10 | Professional | None | $8.91 | $23.44 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $53.70 | Facility | None | $22.91 | $34.67 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $93.33 | Professional | None | $35.48 | $64.57 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $81.28 Typical High $93.33 | Facility | None | $44.67 | $81.28 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | None | $30.90 | $30.90 | $44.67 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $33.11 | Professional | None | $7.41 | $18.62 | $33.11 |
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 $16.98 Typical High $21.88 | Professional | 52 · Reduced service | $14.79 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $8.91 | Professional | 53 · Discontinued | $5.89 | $6.76 | $8.91 |
Where Colorado sits
The same service costs 5.4 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· 17th of 51
$44.67
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.