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 $20.42 Median $56.23 Typical High $123.03 | Facility | None | $20.42 | $56.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $26.92 | Professional | None | $18.62 | $20.42 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $79.43 Typical High $123.03 | Facility | None | $28.18 | $79.43 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $54.95 | Professional | None | $11.22 | $18.20 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $81.28 | Facility | None | $15.49 | $32.36 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $38.02 | Professional | None | $12.88 | $19.50 | $38.02 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $51.29 | Facility | None | $20.42 | $28.84 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $38.90 Typical High $63.10 | Professional | None | $21.38 | $38.90 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $56.23 | Facility | None | $26.92 | $48.98 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | None | $18.62 | $18.62 | $26.92 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $19.50 | Professional | None | $11.22 | $14.45 | $19.50 |
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 $9.77 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $10.23 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $5.37 | Professional | 53 · Discontinued | $3.98 | $4.07 | $5.37 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Alabama. 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
$26.92
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.