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 $23.44 Median $50.12 Typical High $109.65 | Facility | None | $23.44 | $50.12 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $23.44 | Professional | None | $14.79 | $17.78 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $70.79 Typical High $107.15 | Facility | None | $25.12 | $70.79 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $48.98 | Professional | None | $10.00 | $16.22 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $28.84 Typical High $72.44 | Facility | None | $13.80 | $28.84 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $33.88 | Professional | None | $10.72 | $15.14 | $33.88 |
Denver HMP Setting Facility Modifier None Typical Low $17.78 Median $23.44 Typical High $33.88 | Facility | None | $17.78 | $23.44 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $91.20 | Professional | None | $19.05 | $33.88 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $23.44 Median $43.65 Typical High $50.12 | Facility | None | $23.44 | $43.65 | $50.12 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | None | $16.60 | $16.60 | $23.44 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $17.38 | Professional | None | $9.55 | $10.00 | $17.38 |
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 $8.71 Median $8.91 Typical High $11.75 | Professional | 52 · Reduced service | $8.71 | $8.91 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.63 Typical High $4.68 | Professional | 53 · Discontinued | $3.47 | $3.63 | $4.68 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 18th of 51
$23.99
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.