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 $14.13 Median $29.51 Typical High $66.07 | Facility | None | $14.13 | $29.51 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $14.13 | Professional | None | $8.91 | $10.72 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $42.66 Typical High $64.57 | Facility | None | $15.14 | $42.66 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $28.84 | Professional | None | $5.89 | $9.77 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $16.98 Typical High $43.65 | Facility | None | $8.32 | $16.98 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $20.42 | Professional | None | $6.76 | $8.13 | $20.42 |
Denver HMP Setting Facility Modifier None Typical Low $10.72 Median $13.80 Typical High $21.38 | Facility | None | $10.72 | $13.80 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $20.42 Typical High $54.95 | Professional | None | $11.22 | $20.42 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $14.13 Median $26.30 Typical High $29.51 | Facility | None | $14.13 | $26.30 | $29.51 |
Select Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.13 | Professional | None | $10.00 | $10.00 | $14.13 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $10.47 | Professional | None | $5.89 | $6.17 | $10.47 |
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 $5.01 Median $5.37 Typical High $7.08 | Professional | 52 · Reduced service | $5.01 | $5.37 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.14 Typical High $2.82 | Professional | 53 · Discontinued | $2.00 | $2.14 | $2.82 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 20th of 51
$14.45
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.