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 $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $56.23 | Professional | None | $25.70 | $25.70 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $162.18 | Facility | None | $75.86 | $91.20 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $112.20 | Professional | None | $33.11 | $37.15 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $41.69 Typical High $100.00 | Facility | None | $19.50 | $41.69 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $58.88 | Professional | None | $12.59 | $16.22 | $58.88 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $56.23 | Facility | None | $25.70 | $37.15 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $87.10 | Professional | None | $33.88 | $48.98 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $72.44 | Facility | None | $33.88 | $63.10 | $72.44 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $85.11 | Professional | None | $23.99 | $33.88 | $85.11 |
United Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $61.66 | Professional | None | $16.98 | $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 $11.75 Median $12.88 Typical High $17.38 | Professional | 52 · Reduced service | $11.75 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.13 Typical High $6.92 | Professional | 53 · Discontinued | $4.68 | $5.13 | $6.92 |
Where Colorado sits
The same service costs 6.0 times more in Alaska than in Nevada. 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· 32nd of 51
$33.11
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.