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 $43.65 Median $91.20 Typical High $199.53 | Facility | None | $43.65 | $91.20 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None | $33.11 | $33.11 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $131.83 Typical High $199.53 | Facility | None | $45.71 | $131.83 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $95.50 | Professional | None | $43.65 | $43.65 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $52.48 Typical High $138.04 | Facility | None | $25.70 | $52.48 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $63.10 | Professional | None | $20.42 | $28.84 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $83.18 | Facility | None | $33.11 | $43.65 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $112.20 | Professional | None | $43.65 | $61.66 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $91.20 | Facility | None | $43.65 | $81.28 | $91.20 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $66.07 | Professional | None | $30.90 | $43.65 | $66.07 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $32.36 | Professional | None | $18.20 | $22.91 | $32.36 |
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 $16.22 Median $16.60 Typical High $34.67 | Professional | 52 · Reduced service | $16.22 | $16.60 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $13.80 | Professional | 53 · Discontinued | $6.61 | $6.61 | $13.80 |
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· 9th of 51
$57.54
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.