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 $20.89 Median $43.65 Typical High $97.72 | Facility | None | $20.89 | $43.65 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $21.38 | Professional | None | $15.49 | $15.85 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $63.10 Typical High $95.50 | Facility | None | $23.44 | $63.10 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $42.66 | Professional | None | $8.71 | $14.45 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $25.12 Typical High $64.57 | Facility | None | $12.30 | $25.12 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $30.20 | Professional | None | $10.00 | $14.79 | $30.20 |
Denver HMP Setting Facility Modifier None Typical Low $15.85 Median $22.91 Typical High $38.90 | Facility | None | $15.85 | $22.91 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $30.20 Typical High $81.28 | Professional | None | $16.60 | $30.20 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $43.65 | Facility | None | $20.89 | $38.90 | $43.65 |
Select Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $20.89 | Professional | None | $14.79 | $14.79 | $20.89 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $15.49 | Professional | None | $8.71 | $10.96 | $15.49 |
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 $7.76 Median $7.94 Typical High $10.47 | Professional | 52 · Reduced service | $7.76 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.16 Typical High $4.27 | Professional | 53 · Discontinued | $3.09 | $3.16 | $4.27 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$20.89
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.