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 $31.62 Median $72.44 Typical High $194.98 | Facility | None | $31.62 | $72.44 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $72.44 | Professional | None | $31.62 | $31.62 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $125.89 Typical High $190.55 | Facility | None | $43.65 | $125.89 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $93.33 | Professional | None | $41.69 | $41.69 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $50.12 Typical High $131.83 | Facility | None | $24.55 | $50.12 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $85.11 | Professional | None | $21.88 | $29.51 | $85.11 |
Denver HMP Setting Facility Modifier None Typical Low $31.62 Median $41.69 Typical High $85.11 | Facility | None | $31.62 | $41.69 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $107.15 | Professional | None | $41.69 | $58.88 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $87.10 | Facility | None | $41.69 | $77.62 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $63.10 | Professional | None | $29.51 | $41.69 | $63.10 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $17.38 Median $23.99 Typical High $30.90 | Professional | None | $17.38 | $23.99 | $30.90 |
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 $15.49 Median $15.85 Typical High $35.48 | Professional | 52 · Reduced service | $15.49 | $15.85 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $14.45 | Professional | 53 · Discontinued | $6.31 | $6.31 | $14.45 |
Where Colorado sits
The same service costs 3.3 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· 14th of 51
$54.95
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.