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 $20.89 Median $32.36 Typical High $97.72 | Facility | None | $20.89 | $32.36 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $38.02 | Professional | None | $18.62 | $20.89 | $38.02 |
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 $16.22 Median $23.99 Typical High $79.43 | Professional | None | $16.22 | $23.99 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $1.91 Median $19.95 Typical High $57.54 | Facility | None | $1.91 | $19.95 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $38.02 | Professional | None | $12.88 | $19.50 | $38.02 |
Denver HMP Setting Facility Modifier None Typical Low $16.98 Median $26.92 Typical High $38.02 | Facility | None | $16.98 | $26.92 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Select Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | None | $15.14 | $15.14 | $17.78 |
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 $9.77 Median $16.22 Typical High $26.30 | Professional | None | $9.77 | $16.22 | $26.30 |
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 $10.47 Median $10.47 Typical High $19.05 | Professional | 52 · Reduced service | $10.47 | $10.47 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $7.59 | Professional | 53 · Discontinued | $4.17 | $4.17 | $7.59 |
Where Colorado sits
The same service costs 8.5 times more in Alaska than in Arizona. 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
$23.99
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.