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 $28.84 Median $60.26 Typical High $131.83 | Facility | None | $28.84 | $60.26 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $28.84 | Professional | None | $20.89 | $21.88 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $85.11 Typical High $131.83 | Facility | None | $32.36 | $85.11 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $58.88 | Professional | None | $12.02 | $19.50 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $34.67 Typical High $87.10 | Facility | None | $16.60 | $34.67 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $40.74 | Professional | None | $13.80 | $20.42 | $40.74 |
Denver HMP Setting Facility Modifier None Typical Low $21.88 Median $30.90 Typical High $53.70 | Facility | None | $21.88 | $30.90 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $97.72 | Professional | None | $22.91 | $41.69 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $28.18 Median $52.48 Typical High $60.26 | Facility | None | $28.18 | $52.48 | $60.26 |
Select Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $28.18 | Professional | None | $19.95 | $19.95 | $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 $12.02 Median $15.49 Typical High $20.89 | Professional | None | $12.02 | $15.49 | $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 $10.47 Median $10.72 Typical High $14.45 | Professional | 52 · Reduced service | $10.47 | $10.72 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $5.75 | Professional | 53 · Discontinued | $4.27 | $4.37 | $5.75 |
Where Colorado sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 22nd of 51
$28.84
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.