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 $23.99 Median $50.12 Typical High $112.20 | Facility | None | $23.99 | $50.12 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $23.99 | Professional | None | $16.22 | $18.20 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $72.44 Typical High $109.65 | Facility | None | $25.12 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $75.86 | Professional | None | $23.99 | $28.84 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $28.84 Typical High $75.86 | Facility | None | $14.13 | $28.84 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $43.65 | Professional | None | $6.92 | $12.59 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $20.89 Typical High $43.65 | Facility | None | $18.20 | $20.89 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $93.33 | Professional | None | $25.12 | $33.88 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $44.67 Typical High $50.12 | Facility | None | $23.99 | $44.67 | $50.12 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $36.31 | Professional | None | $23.99 | $23.99 | $36.31 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $47.86 | Professional | None | $8.71 | $14.45 | $47.86 |
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 $8.13 Median $9.12 Typical High $12.02 | Professional | 52 · Reduced service | $8.13 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.63 Typical High $4.79 | Professional | 53 · Discontinued | $3.24 | $3.63 | $4.79 |
Where Colorado sits
The same service costs 8.9 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
$48.98
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.