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 $16.22 Median $33.88 Typical High $74.13 | Facility | None | $16.22 | $33.88 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $16.22 | Professional | None | $10.23 | $12.30 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $48.98 Typical High $74.13 | Facility | None | $18.20 | $48.98 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $33.11 | Professional | None | $6.76 | $11.22 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $19.50 Typical High $48.98 | Facility | None | $9.55 | $19.50 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $23.44 | Professional | None | $7.59 | $10.96 | $23.44 |
Denver HMP Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $27.54 | Facility | None | $12.30 | $16.60 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $23.44 Typical High $63.10 | Professional | None | $12.88 | $23.44 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $16.22 Median $30.20 Typical High $33.88 | Facility | None | $16.22 | $30.20 | $33.88 |
Select Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | None | $11.22 | $11.22 | $16.22 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.76 Typical High $12.02 | Professional | None | $6.76 | $7.76 | $12.02 |
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 $5.62 Median $6.17 Typical High $8.13 | Professional | 52 · Reduced service | $5.62 | $6.17 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.45 Typical High $3.24 | Professional | 53 · Discontinued | $2.29 | $2.45 | $3.24 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in New York. 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
$16.22
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.