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 $30.90 Median $64.57 Typical High $144.54 | Facility | None | $30.90 | $64.57 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $30.90 | Professional | None | $19.50 | $23.44 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $93.33 Typical High $141.25 | Facility | None | $33.11 | $93.33 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $21.38 Typical High $63.10 | Professional | None | $12.88 | $21.38 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $37.15 Typical High $95.50 | Facility | None | $18.20 | $37.15 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $44.67 | Professional | None | $15.85 | $22.39 | $44.67 |
Denver HMP Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $61.66 | Facility | None | $23.44 | $30.90 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $120.23 | Professional | None | $24.55 | $44.67 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $57.54 Typical High $64.57 | Facility | None | $30.90 | $57.54 | $64.57 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | None | $21.88 | $21.88 | $30.90 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $24.55 | Professional | None | $12.88 | $18.20 | $24.55 |
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 $11.75 Median $11.75 Typical High $15.49 | Professional | 52 · Reduced service | $11.75 | $11.75 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $6.17 | Professional | 53 · Discontinued | $4.68 | $4.68 | $6.17 |
Where Colorado sits
The same service costs 4.2 times more in Kansas 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
$30.90
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.