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 $25.70 Median $58.88 Typical High $154.88 | Facility | None | $25.70 | $58.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $50.12 | Professional | None | $25.12 | $25.70 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $100.00 Typical High $154.88 | Facility | None | $35.48 | $100.00 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None | $33.11 | $33.11 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $40.74 Typical High $104.71 | Facility | None | $19.50 | $40.74 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $61.66 | Professional | None | $15.49 | $17.78 | $61.66 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $67.61 | Facility | None | $25.70 | $33.11 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $85.11 | Professional | None | $33.11 | $47.86 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $70.79 | Facility | None | $33.11 | $61.66 | $70.79 |
Select Health Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $50.12 | Professional | None | $23.44 | $33.11 | $50.12 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $61.66 | Professional | None | $19.95 | $20.89 | $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 $12.59 Median $12.59 Typical High $21.38 | Professional | 52 · Reduced service | $12.59 | $12.59 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $8.71 | Professional | 53 · Discontinued | $5.01 | $5.13 | $8.71 |
Where Colorado sits
The same service costs 5.6 times more in Kansas 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· 10th of 51
$46.77
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.