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 $27.54 Median $57.54 Typical High $128.82 | Facility | None | $27.54 | $57.54 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $27.54 | Professional | None | $16.60 | $20.89 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $83.18 Typical High $125.89 | Facility | None | $29.51 | $83.18 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $87.10 | Professional | None | $27.54 | $33.11 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $87.10 | Facility | None | $16.22 | $33.11 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $14.45 Typical High $50.12 | Professional | None | $6.92 | $14.45 | $50.12 |
Denver HMP Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $39.81 | Facility | None | $19.05 | $20.89 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $107.15 | Professional | None | $28.84 | $38.90 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $27.54 Median $51.29 Typical High $57.54 | Facility | None | $27.54 | $51.29 | $57.54 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | None | $27.54 | $27.54 | $41.69 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $8.71 Median $16.60 Typical High $54.95 | Professional | None | $8.71 | $16.60 | $54.95 |
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 $8.32 Median $10.47 Typical High $13.80 | Professional | 52 · Reduced service | $8.32 | $10.47 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.17 Typical High $5.50 | Professional | 53 · Discontinued | $3.31 | $4.17 | $5.50 |
Where Colorado sits
The same service costs 9.5 times more in Texas 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· 4th 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.