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 $19.95 Median $54.95 Typical High $120.23 | Facility | None | $19.95 | $54.95 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $38.90 | Professional | None | $17.38 | $19.95 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $77.62 Typical High $120.23 | Facility | None | $27.54 | $77.62 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $53.70 | Professional | None | $15.85 | $26.30 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $31.62 Typical High $79.43 | Facility | None | $15.14 | $31.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $19.05 Typical High $38.02 | Professional | None | $13.49 | $19.05 | $38.02 |
Denver HMP Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $52.48 | Facility | None | $19.95 | $28.18 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $38.02 Typical High $102.33 | Professional | None | $20.89 | $38.02 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $47.86 Typical High $54.95 | Facility | None | $26.30 | $47.86 | $54.95 |
Select Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | None | $18.20 | $18.20 | $26.30 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $19.50 | Professional | None | $10.96 | $15.14 | $19.50 |
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 $9.77 Median $10.00 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $10.00 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $3.98 | $5.25 |
Where Colorado sits
The same service costs 6.0 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· 19th of 51
$28.84
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.