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 $56.23 Median $117.49 Typical High $257.04 | Facility | None | $56.23 | $117.49 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $72.44 | Professional | None | $41.69 | $42.66 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $165.96 Typical High $257.04 | Facility | None | $58.88 | $165.96 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $123.03 | Professional | None | $56.23 | $56.23 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $67.61 Typical High $173.78 | Facility | None | $32.36 | $67.61 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $100.00 | Professional | None | $25.70 | $29.51 | $100.00 |
Denver HMP Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $112.20 | Facility | None | $42.66 | $54.95 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $138.04 | Professional | None | $56.23 | $79.43 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $117.49 | Facility | None | $56.23 | $102.33 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $83.18 | Professional | None | $38.90 | $56.23 | $83.18 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $41.69 | Professional | None | $23.44 | $23.99 | $41.69 |
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 $20.89 Median $21.38 Typical High $35.48 | Professional | 52 · Reduced service | $20.89 | $21.38 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $14.45 | Professional | 53 · Discontinued | $8.32 | $8.51 | $14.45 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 4th of 51
$74.13
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.