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 $18.62 Median $39.81 Typical High $87.10 | Facility | None | $18.62 | $39.81 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.13 Typical High $18.62 | Professional | None | $13.18 | $14.13 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $85.11 | Facility | None | $20.89 | $56.23 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $38.90 | Professional | None | $7.94 | $12.88 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $22.91 Typical High $57.54 | Facility | None | $10.96 | $22.91 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $26.92 | Professional | None | $9.77 | $13.80 | $26.92 |
Denver HMP Setting Facility Modifier None Typical Low $14.13 Median $20.42 Typical High $37.15 | Facility | None | $14.13 | $20.42 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $72.44 | Professional | None | $15.14 | $26.92 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $39.81 | Facility | None | $18.62 | $34.67 | $39.81 |
Select Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $18.62 | Professional | None | $13.18 | $13.18 | $18.62 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $13.80 | Professional | None | $7.94 | $10.96 | $13.80 |
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 $7.08 Median $7.08 Typical High $9.55 | Professional | 52 · Reduced service | $7.08 | $7.08 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.80 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.80 |
Where Colorado sits
The same service costs 5.1 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· 27th of 51
$18.62
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.