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 $38.90 Median $81.28 Typical High $181.97 | Facility | None | $38.90 | $81.28 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $38.90 | Professional | None | $25.70 | $29.51 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $117.49 Typical High $177.83 | Facility | None | $43.65 | $117.49 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $79.43 | Professional | None | $16.22 | $26.92 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $42.66 Typical High $120.23 | Facility | None | $20.89 | $42.66 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $21.38 Typical High $56.23 | Professional | None | $12.59 | $21.38 | $56.23 |
Denver HMP Setting Facility Modifier None Typical Low $4.68 Median $33.88 Typical High $47.86 | Facility | None | $4.68 | $33.88 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $109.65 | Professional | None | $30.90 | $56.23 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $81.28 | Facility | None | $38.90 | $72.44 | $81.28 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | None | $27.54 | $27.54 | $38.90 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $28.84 | Professional | None | $11.48 | $16.22 | $28.84 |
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 $12.88 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $12.88 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.89 Typical High $7.76 | Professional | 53 · Discontinued | $5.25 | $5.89 | $7.76 |
Where Colorado sits
The same service costs 4.3 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· 16th of 51
$38.90
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.