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 $51.29 Median $107.15 Typical High $234.42 | Facility | None | $51.29 | $107.15 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $38.02 Typical High $50.12 | Professional | None | $17.78 | $38.02 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $151.36 Typical High $229.09 | Facility | None | $53.70 | $151.36 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $158.49 | Professional | None | $50.12 | $60.26 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $61.66 Typical High $158.49 | Facility | None | $26.92 | $61.66 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $23.44 Typical High $74.13 | Professional | None | $7.41 | $23.44 | $74.13 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $38.02 Typical High $54.95 | Facility | None | $20.42 | $38.02 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $194.98 | Professional | None | $53.70 | $72.44 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $107.15 | Facility | None | $50.12 | $93.33 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | None | $50.12 | $50.12 | $75.86 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $9.55 Median $30.20 Typical High $100.00 | Professional | None | $9.55 | $30.20 | $100.00 |
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 $8.91 Median $19.05 Typical High $25.12 | Professional | 52 · Reduced service | $8.91 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $7.76 Typical High $10.00 | Professional | 53 · Discontinued | $3.63 | $7.76 | $10.00 |
Where Colorado sits
The same service costs 10.2 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· 3rd of 51
$105
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.