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 $60.26 Typical High $123.03 | Facility | None | $26.92 | $60.26 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $52.48 | Professional | None | $26.30 | $28.18 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $162.18 | Facility | None | $37.15 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $77.62 | Professional | None | $35.48 | $35.48 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $109.65 | Facility | None | $20.42 | $42.66 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $53.70 | Professional | None | $18.20 | $22.91 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $61.66 | Facility | None | $26.92 | $33.88 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $89.13 | Professional | None | $35.48 | $50.12 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $74.13 | Facility | None | $35.48 | $64.57 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $52.48 | Professional | None | $24.55 | $35.48 | $52.48 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $25.70 | Professional | None | $14.79 | $19.95 | $25.70 |
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 $13.18 Median $13.49 Typical High $18.62 | Professional | 52 · Reduced service | $13.18 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.37 Typical High $7.41 | Professional | 53 · Discontinued | $5.25 | $5.37 | $7.41 |
Where Colorado sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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
$45.71
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.