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 $35.48 Median $74.13 Typical High $162.18 | Facility | None | $35.48 | $74.13 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $35.48 | Professional | None | $17.78 | $26.92 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $104.71 Typical High $162.18 | Facility | None | $39.81 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $72.44 | Professional | None | $21.38 | $35.48 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $107.15 | Facility | None | $18.62 | $33.88 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $19.05 Typical High $50.12 | Professional | None | $7.94 | $19.05 | $50.12 |
Denver HMP Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $42.66 | Facility | None | $21.38 | $26.92 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $74.13 | Professional | None | $28.18 | $51.29 | $74.13 |
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 $24.55 Typical High $35.48 | Professional | None | $24.55 | $24.55 | $35.48 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $7.08 Median $14.79 Typical High $26.30 | Professional | None | $7.08 | $14.79 | $26.30 |
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 $11.75 Median $13.49 Typical High $17.78 | Professional | 52 · Reduced service | $11.75 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $5.37 | $7.08 |
Where Colorado sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 18th 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.