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 $12.30 Median $13.80 Typical High $20.89 | Professional | None | $12.30 | $13.80 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $56.23 Typical High $85.11 | Facility | None | $19.50 | $56.23 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $54.95 | Professional | None | $17.38 | $20.89 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $18.20 Typical High $57.54 | Facility | None | $10.72 | $18.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $27.54 | Professional | None | $6.92 | $9.55 | $27.54 |
Denver HMP Setting Facility Modifier None Typical Low $13.49 Median $18.62 Typical High $23.99 | Facility | None | $13.49 | $18.62 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $69.18 | Professional | None | $19.50 | $26.30 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $38.90 | Facility | None | $18.62 | $34.67 | $38.90 |
Select Health Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $27.54 | Professional | None | $18.20 | $18.62 | $27.54 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $30.20 | Professional | None | $8.71 | $10.72 | $30.20 |
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 $6.17 Median $6.92 Typical High $9.55 | Professional | 52 · Reduced service | $6.17 | $6.92 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.75 Typical High $3.89 | Professional | 53 · Discontinued | $2.45 | $2.75 | $3.89 |
Where Colorado sits
The same service costs 4.9 times more in Alaska 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· 4th 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.