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 $61.66 Median $128.82 Typical High $281.84 | Facility | None | $61.66 | $128.82 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $60.26 | Professional | None | $40.74 | $45.71 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $181.97 Typical High $275.42 | Facility | None | $64.57 | $181.97 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $125.89 | Professional | None | $37.15 | $60.26 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $186.21 | Facility | None | $30.20 | $57.54 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $32.36 Typical High $87.10 | Professional | None | $7.94 | $32.36 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $21.38 Median $45.71 Typical High $72.44 | Facility | None | $21.38 | $45.71 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $128.82 | Professional | None | $48.98 | $87.10 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $112.20 Typical High $128.82 | Facility | None | $60.26 | $112.20 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | None | $42.66 | $42.66 | $60.26 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $7.08 Median $25.70 Typical High $44.67 | Professional | None | $7.08 | $25.70 | $44.67 |
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 $20.42 Median $22.91 Typical High $30.20 | Professional | 52 · Reduced service | $20.42 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $12.02 | Professional | 53 · Discontinued | $8.13 | $9.33 | $12.02 |
Where Colorado sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 12th of 51
$60.26
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.