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 $95.50 Median $199.53 Typical High $436.52 | Facility | None | $95.50 | $199.53 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $95.50 | Professional | None | $63.10 | $72.44 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $288.40 Typical High $436.52 | Facility | None | $100.00 | $288.40 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $194.98 | Professional | None | $39.81 | $66.07 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $295.12 | Facility | None | $51.29 | $114.82 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $138.04 | Professional | None | $45.71 | $61.66 | $138.04 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $117.49 | Facility | None | $72.44 | $85.11 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $295.12 | Professional | None | $75.86 | $138.04 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $199.53 | Facility | None | $95.50 | $177.83 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | None | $67.61 | $67.61 | $95.50 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $70.79 | Professional | None | $39.81 | $46.77 | $70.79 |
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 $33.11 Median $36.31 Typical High $47.86 | Professional | 52 · Reduced service | $33.11 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $13.49 | $14.45 | $19.05 |
Where Colorado sits
The same service costs 5.4 times more in Alaska 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· 20th of 51
$95.50
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.