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 $22.91 Median $47.86 Typical High $104.71 | Facility | None | $22.91 | $47.86 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $22.91 | Professional | None | $16.98 | $17.38 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $67.61 Typical High $104.71 | Facility | None | $25.70 | $67.61 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $46.77 | Professional | None | $9.55 | $15.49 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $27.54 Typical High $69.18 | Facility | None | $13.18 | $27.54 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $32.36 | Professional | None | $11.75 | $16.60 | $32.36 |
Denver HMP Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $45.71 | Facility | None | $17.38 | $24.55 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $33.11 Typical High $89.13 | Professional | None | $18.20 | $33.11 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $22.91 Median $41.69 Typical High $47.86 | Facility | None | $22.91 | $41.69 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.91 | Professional | None | $15.85 | $15.85 | $22.91 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $18.20 | Professional | None | $9.55 | $13.18 | $18.20 |
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 $8.51 Median $8.71 Typical High $11.48 | Professional | 52 · Reduced service | $8.51 | $8.71 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $4.57 | Professional | 53 · Discontinued | $3.39 | $3.47 | $4.57 |
Where Colorado sits
The same service costs 4.2 times more in Kansas 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· 26th of 51
$22.91
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.