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 $51.29 Typical High $112.20 | Facility | None | $18.62 | $51.29 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $28.84 | Professional | None | $18.20 | $18.62 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $72.44 Typical High $112.20 | Facility | None | $25.70 | $72.44 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $50.12 | Professional | None | $10.23 | $16.60 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $29.51 Typical High $74.13 | Facility | None | $14.13 | $29.51 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $35.48 | Professional | None | $12.59 | $17.78 | $35.48 |
Denver HMP Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $48.98 | Facility | None | $18.62 | $24.55 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $35.48 Typical High $95.50 | Professional | None | $19.50 | $35.48 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $24.55 Median $44.67 Typical High $51.29 | Facility | None | $24.55 | $44.67 | $51.29 |
Select Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $24.55 | Professional | None | $16.98 | $16.98 | $24.55 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $18.20 | Professional | None | $10.23 | $14.45 | $18.20 |
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 $9.12 Median $9.33 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $9.33 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.72 | $4.90 |
Where Colorado sits
The same service costs 4.0 times more in Kansas 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· 24th of 51
$24.55
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.