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 $22.39 Median $40.74 Typical High $107.15 | Facility | None | $22.39 | $40.74 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $31.62 | Professional | None | $14.45 | $17.78 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $707.95 | Facility | None | $338.84 | $398.11 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $66.07 | Professional | None | $13.49 | $18.62 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $39.81 Typical High $57.54 | Facility | None | $2.09 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $33.88 | Professional | None | $10.72 | $16.22 | $33.88 |
Denver HMP Setting Facility Modifier None Typical Low $15.85 Median $25.12 Typical High $34.67 | Facility | None | $15.85 | $25.12 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
United Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $891.25 | Facility | None | $741.31 | $776.25 | $891.25 |
United Setting Professional Modifier None Typical Low $7.94 Median $13.80 Typical High $22.39 | Professional | None | $7.94 | $13.80 | $22.39 |
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 $8.71 Median $8.71 Typical High $15.85 | Professional | 52 · Reduced service | $8.71 | $8.71 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $6.31 | Professional | 53 · Discontinued | $3.55 | $3.55 | $6.31 |
Where Colorado sits
The same service costs 11.2 times more in Texas 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· 34th of 51
$19.95
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.