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 $32.36 Median $74.13 Typical High $151.36 | Facility | None | $32.36 | $74.13 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $67.61 | Professional | None | $32.36 | $32.36 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $128.82 Typical High $194.98 | Facility | None | $45.71 | $128.82 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $95.50 | Professional | None | $42.66 | $42.66 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $134.90 | Facility | None | $25.12 | $51.29 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $87.10 | Professional | None | $22.39 | $30.20 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $89.13 | Facility | None | $32.36 | $42.66 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $109.65 | Professional | None | $42.66 | $60.26 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $89.13 | Facility | None | $42.66 | $79.43 | $89.13 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $64.57 | Professional | None | $30.20 | $42.66 | $64.57 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $31.62 | Professional | None | $17.78 | $24.55 | $31.62 |
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 $16.22 Median $16.22 Typical High $37.15 | Professional | 52 · Reduced service | $16.22 | $16.22 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $14.79 | Professional | 53 · Discontinued | $6.46 | $6.46 | $14.79 |
Where Colorado sits
The same service costs 4.5 times more in Kansas 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· 14th of 51
$57.54
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.