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 $30.20 Median $63.10 Typical High $138.04 | Facility | None | $30.20 | $63.10 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $34.67 | Professional | None | $20.89 | $22.91 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $89.13 Typical High $138.04 | Facility | None | $31.62 | $89.13 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $66.07 | Professional | None | $29.51 | $29.51 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $36.31 Typical High $93.33 | Facility | None | $17.38 | $36.31 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $47.86 | Professional | None | $13.18 | $15.49 | $47.86 |
Denver HMP Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $56.23 | Facility | None | $22.91 | $29.51 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $75.86 | Professional | None | $29.51 | $42.66 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $54.95 Typical High $63.10 | Facility | None | $29.51 | $54.95 | $63.10 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $44.67 | Professional | None | $20.89 | $29.51 | $44.67 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $21.88 | Professional | None | $11.48 | $12.59 | $21.88 |
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 $11.22 Typical High $17.38 | Professional | 52 · Reduced service | $10.47 | $11.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.57 Typical High $6.92 | Professional | 53 · Discontinued | $4.17 | $4.57 | $6.92 |
Where Colorado sits
The same service costs 5.4 times more in Texas 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· 5th of 51
$39.81
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.