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 $26.30 Median $54.95 Typical High $120.23 | Facility | None | $26.30 | $54.95 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $33.88 | Professional | None | $19.50 | $19.95 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $79.43 Typical High $120.23 | Facility | None | $21.38 | $79.43 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $50.12 Typical High $89.13 | Professional | None | $26.30 | $50.12 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $31.62 Typical High $83.18 | Facility | None | $15.49 | $31.62 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $63.10 | Professional | None | $20.89 | $24.55 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $52.48 | Facility | None | $19.95 | $28.18 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $102.33 | Professional | None | $27.54 | $37.15 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $48.98 Typical High $54.95 | Facility | None | $26.30 | $48.98 | $54.95 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | None | $26.30 | $26.30 | $38.90 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $58.88 | Professional | None | $15.85 | $23.44 | $58.88 |
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 $9.77 Median $10.00 Typical High $16.98 | Professional | 52 · Reduced service | $9.77 | $10.00 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $6.76 | Professional | 53 · Discontinued | $3.89 | $3.98 | $6.76 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$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.