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 $21.88 Median $45.71 Typical High $102.33 | Facility | None | $21.88 | $45.71 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $34.67 | Professional | None | $16.60 | $16.60 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $66.07 Typical High $100.00 | Facility | None | $24.55 | $66.07 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $48.98 | Professional | None | $21.88 | $21.88 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $26.30 Typical High $69.18 | Facility | None | $12.88 | $26.30 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $40.74 | Professional | None | $10.47 | $14.13 | $40.74 |
Denver HMP Setting Facility Modifier None Typical Low $16.60 Median $21.88 Typical High $43.65 | Facility | None | $16.60 | $21.88 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $56.23 | Professional | None | $21.88 | $30.90 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $40.74 Typical High $45.71 | Facility | None | $21.88 | $40.74 | $45.71 |
Select Health Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $33.11 | Professional | None | $15.49 | $21.88 | $33.11 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $16.22 | Professional | None | $9.12 | $11.48 | $16.22 |
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 $8.13 Median $8.32 Typical High $17.38 | Professional | 52 · Reduced service | $8.13 | $8.32 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $6.92 | Professional | 53 · Discontinued | $3.31 | $3.31 | $6.92 |
Where Colorado sits
The same service costs 4.7 times more in Alaska 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· 11th of 51
$28.84
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.