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 $18.20 Median $38.02 Typical High $83.18 | Facility | None | $18.20 | $38.02 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $25.70 | Professional | None | $13.49 | $13.80 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $53.70 Typical High $83.18 | Facility | None | $20.42 | $53.70 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $56.23 | Professional | None | $17.78 | $21.38 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $21.88 Typical High $57.54 | Facility | None | $10.47 | $21.88 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $33.88 | Professional | None | $9.33 | $10.96 | $33.88 |
Denver HMP Setting Facility Modifier None Typical Low $13.80 Median $18.20 Typical High $35.48 | Facility | None | $13.80 | $18.20 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $70.79 | Professional | None | $19.05 | $25.70 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $33.11 Typical High $38.02 | Facility | None | $17.78 | $33.11 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $26.92 | Professional | None | $17.78 | $17.78 | $26.92 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $38.90 | Professional | None | $10.72 | $13.18 | $38.90 |
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 $6.76 Median $6.76 Typical High $12.88 | Professional | 52 · Reduced service | $6.76 | $6.76 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $5.13 | Professional | 53 · Discontinued | $2.69 | $2.75 | $5.13 |
Where Colorado sits
The same service costs 10.2 times more in Texas 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· 5th of 51
$37.15
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.