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 $52.48 Typical High $138.04 | Facility | None | $28.84 | $52.48 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $30.20 | Professional | None | $20.89 | $22.91 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $89.13 Typical High $138.04 | Facility | None | $24.55 | $89.13 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $29.51 Typical High $66.07 | Professional | None | $18.20 | $29.51 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $91.20 | Facility | None | $19.05 | $36.31 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $48.98 | Professional | None | $21.38 | $24.55 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $46.77 | Facility | None | $22.91 | $29.51 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $43.65 Typical High $117.49 | Professional | None | $23.99 | $43.65 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $54.95 Typical High $63.10 | Facility | None | $30.20 | $54.95 | $63.10 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $30.20 | Professional | None | $20.89 | $20.89 | $30.20 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $23.99 | Professional | None | $12.59 | $12.88 | $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 $10.96 Median $11.48 Typical High $14.79 | Professional | 52 · Reduced service | $10.96 | $11.48 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $6.03 | Professional | 53 · Discontinued | $4.47 | $4.57 | $6.03 |
Where Colorado sits
The same service costs 4.5 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· 10th 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.