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 $57.54 Median $123.03 Typical High $269.15 | Facility | None | $57.54 | $123.03 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $57.54 | Professional | None | $31.62 | $43.65 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $173.78 Typical High $263.03 | Facility | None | $61.66 | $173.78 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $128.82 | Professional | None | $57.54 | $57.54 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $70.79 Typical High $181.97 | Facility | None | $33.88 | $70.79 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $30.20 Typical High $83.18 | Professional | None | $13.18 | $30.20 | $83.18 |
Denver HMP Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $63.10 | Facility | None | $35.48 | $43.65 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $147.91 | Professional | None | $57.54 | $83.18 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $123.03 | Facility | None | $57.54 | $107.15 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $87.10 | Professional | None | $40.74 | $57.54 | $87.10 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $24.55 Typical High $34.67 | Professional | None | $11.75 | $24.55 | $34.67 |
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 $18.20 Median $21.88 Typical High $28.84 | Professional | 52 · Reduced service | $18.20 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $11.48 | Professional | 53 · Discontinued | $7.24 | $8.91 | $11.48 |
Where Colorado sits
The same service costs 5.1 times more in Alaska than in Kansas. 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
$75.86
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.