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 $19.50 Median $40.74 Typical High $89.13 | Facility | None | $19.50 | $40.74 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $19.50 | Professional | None | $12.30 | $14.79 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $57.54 Typical High $89.13 | Facility | None | $21.88 | $57.54 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $13.18 Typical High $39.81 | Professional | None | $8.13 | $13.18 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $23.44 Typical High $58.88 | Facility | None | $11.22 | $23.44 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $28.18 | Professional | None | $10.00 | $14.13 | $28.18 |
Denver HMP Setting Facility Modifier None Typical Low $14.79 Median $20.89 Typical High $38.90 | Facility | None | $14.79 | $20.89 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $75.86 | Professional | None | $15.49 | $28.18 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $19.50 Median $35.48 Typical High $40.74 | Facility | None | $19.50 | $35.48 | $40.74 |
Select Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $19.50 | Professional | None | $13.49 | $13.49 | $19.50 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $14.79 | Professional | None | $8.13 | $11.48 | $14.79 |
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 $7.24 Median $7.41 Typical High $9.77 | Professional | 52 · Reduced service | $7.24 | $7.41 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.95 Typical High $3.89 | Professional | 53 · Discontinued | $2.88 | $2.95 | $3.89 |
Where Colorado sits
The same service costs 4.3 times more in Kansas than in Maryland. 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
$20.42
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.