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 $34.67 Median $72.44 Typical High $158.49 | Facility | None | $34.67 | $72.44 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $33.88 | Professional | None | $23.99 | $25.70 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $102.33 Typical High $154.88 | Facility | None | $36.31 | $102.33 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $70.79 | Professional | None | $14.45 | $23.44 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $41.69 Typical High $107.15 | Facility | None | $18.20 | $41.69 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $48.98 | Professional | None | $16.22 | $23.44 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $43.65 | Facility | None | $25.70 | $31.62 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $97.72 | Professional | None | $27.54 | $50.12 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $72.44 | Facility | None | $33.88 | $63.10 | $72.44 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.88 | Professional | None | $23.99 | $23.99 | $33.88 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $25.12 | Professional | None | $14.45 | $14.79 | $25.12 |
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 $12.59 Median $12.88 Typical High $16.98 | Professional | 52 · Reduced service | $12.59 | $12.88 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.25 Typical High $6.92 | Professional | 53 · Discontinued | $5.01 | $5.25 | $6.92 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 15th of 51
$35.48
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.