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 $28.84 Median $66.07 Typical High $131.83 | Facility | None | $28.84 | $66.07 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $28.84 Typical High $52.48 | Professional | None | $9.77 | $28.84 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $109.65 Typical High $173.78 | Facility | None | $28.84 | $109.65 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $77.62 | Professional | None | $15.85 | $25.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $120.23 | Facility | None | $21.88 | $33.11 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $54.95 | Professional | None | $17.78 | $27.54 | $54.95 |
Denver HMP Setting Facility Modifier None Typical Low $14.45 Median $28.84 Typical High $45.71 | Facility | None | $14.45 | $28.84 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $147.91 | Professional | None | $30.20 | $54.95 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $69.18 Typical High $79.43 | Facility | None | $38.02 | $69.18 | $79.43 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | None | $26.30 | $26.30 | $38.02 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $23.99 | Professional | None | $5.01 | $5.01 | $23.99 |
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 $4.47 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $4.47 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $1.78 | $5.75 | $6.03 |
Where Colorado sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 11th of 51
$34.67
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.