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 $40.74 Median $85.11 Typical High $186.21 | Facility | None | $40.74 | $85.11 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $56.23 | Professional | None | $28.84 | $30.90 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $123.03 Typical High $186.21 | Facility | None | $42.66 | $123.03 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $89.13 | Professional | None | $40.74 | $40.74 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $48.98 Typical High $128.82 | Facility | None | $23.99 | $48.98 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $58.88 | Professional | None | $18.62 | $22.91 | $58.88 |
Denver HMP Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $61.66 | Facility | None | $30.90 | $36.31 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $104.71 | Professional | None | $40.74 | $57.54 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $85.11 | Facility | None | $40.74 | $75.86 | $85.11 |
Select Health Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $60.26 | Professional | None | $28.18 | $40.74 | $60.26 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $30.20 | Professional | None | $16.98 | $19.95 | $30.20 |
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 $15.14 Median $15.49 Typical High $21.38 | Professional | 52 · Reduced service | $15.14 | $15.49 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.17 Typical High $8.51 | Professional | 53 · Discontinued | $6.03 | $6.17 | $8.51 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$52.48
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.