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 $16.22 Median $37.15 Typical High $74.13 | Facility | None | $16.22 | $37.15 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $29.51 | Professional | None | $14.13 | $16.22 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $63.10 Typical High $97.72 | Facility | None | $23.99 | $63.10 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $43.65 | Professional | None | $8.91 | $14.45 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $25.70 Typical High $64.57 | Facility | None | $12.30 | $25.70 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $30.20 | Professional | None | $10.96 | $15.85 | $30.20 |
Denver HMP Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $42.66 | Facility | None | $16.22 | $22.91 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $30.90 Typical High $83.18 | Professional | None | $16.98 | $30.90 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $44.67 | Facility | None | $21.38 | $38.90 | $44.67 |
Select Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $21.38 | Professional | None | $14.79 | $14.79 | $21.38 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $15.85 | Professional | None | $8.91 | $12.59 | $15.85 |
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 $7.94 Median $8.13 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $8.13 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.24 | $4.27 |
Where Colorado sits
The same service costs 4.1 times more in Kansas than in Maryland. 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· 21st of 51
$21.38
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.