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 $20.42 Median $45.71 Typical High $93.33 | Facility | None | $20.42 | $45.71 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $48.98 | Professional | None | $18.62 | $20.89 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $79.43 Typical High $123.03 | Facility | None | $28.18 | $79.43 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $83.18 | Professional | None | $26.92 | $31.62 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $83.18 | Facility | None | $15.49 | $32.36 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.95 Typical High $48.98 | Professional | None | $13.80 | $19.95 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $26.30 Typical High $53.70 | Facility | None | $20.42 | $26.30 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $104.71 | Professional | None | $28.18 | $38.02 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $56.23 | Facility | None | $26.92 | $48.98 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $39.81 | Professional | None | $26.92 | $26.92 | $39.81 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $61.66 | Professional | None | $15.85 | $23.44 | $61.66 |
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 $10.00 Median $10.00 Typical High $22.91 | Professional | 52 · Reduced service | $10.00 | $10.00 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $9.12 | Professional | 53 · Discontinued | $4.07 | $4.07 | $9.12 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 7th of 51
$53.70
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.