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 $26.92 Median $56.23 Typical High $123.03 | Facility | None | $26.92 | $56.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $34.67 | Professional | None | $19.95 | $20.42 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $81.28 Typical High $123.03 | Facility | None | $30.20 | $81.28 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $58.88 | Professional | None | $26.92 | $26.92 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $32.36 Typical High $85.11 | Facility | None | $15.85 | $32.36 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $47.86 | Professional | None | $12.30 | $14.13 | $47.86 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $53.70 | Facility | None | $20.42 | $26.92 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $69.18 | Professional | None | $26.92 | $38.02 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $50.12 Typical High $56.23 | Facility | None | $26.92 | $50.12 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $40.74 | Professional | None | $18.62 | $26.92 | $40.74 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $19.95 | Professional | None | $11.22 | $11.48 | $19.95 |
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 $10.00 Median $10.23 Typical High $17.38 | Professional | 52 · Reduced service | $10.00 | $10.23 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $6.92 | Professional | 53 · Discontinued | $4.07 | $4.07 | $6.92 |
Where Colorado sits
The same service costs 5.4 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· 6th of 51
$35.48
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.