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 $36.31 Median $77.62 Typical High $169.82 | Facility | None | $36.31 | $77.62 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $43.65 | Professional | None | $27.54 | $27.54 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $109.65 Typical High $165.96 | Facility | None | $40.74 | $109.65 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $25.12 Typical High $75.86 | Professional | None | $15.49 | $25.12 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $44.67 Typical High $120.23 | Facility | None | $21.38 | $44.67 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $36.31 Typical High $52.48 | Professional | None | $19.05 | $36.31 | $52.48 |
Denver HMP Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $112.20 | Facility | None | $27.54 | $39.81 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $52.48 Typical High $141.25 | Professional | None | $29.51 | $52.48 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $67.61 Typical High $77.62 | Facility | None | $36.31 | $67.61 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | None | $25.70 | $25.70 | $36.31 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $34.67 | Professional | None | $15.49 | $26.92 | $34.67 |
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 $13.80 Median $13.80 Typical High $21.88 | Professional | 52 · Reduced service | $13.80 | $13.80 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $8.71 | Professional | 53 · Discontinued | $5.50 | $5.62 | $8.71 |
Where Colorado sits
The same service costs 10.2 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· 30th of 51
$39.81
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.