How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $36.31 | Professional | None | $22.91 | $24.55 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $52.48 | Professional | None | $25.70 | $34.67 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $48.98 | Professional | None | $27.54 | $30.90 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $24.55 Median $28.84 Typical High $35.48 | Facility | None | $24.55 | $28.84 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $51.29 | Professional | None | $19.50 | $30.20 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $22.91 Median $42.66 Typical High $48.98 | Facility | None | $22.91 | $42.66 | $48.98 |
Select Health Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $33.88 | Professional | None | $19.05 | $23.44 | $33.88 |
United Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $50.12 | Professional | None | $27.54 | $33.88 | $50.12 |
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 $11.48 Median $12.30 Typical High $13.49 | Professional | 52 · Reduced service | $11.48 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.90 Typical High $5.37 | Professional | 53 · Discontinued | $4.68 | $4.90 | $5.37 |
Where Colorado sits
The same service costs 2.8 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· 20th of 51
$32.36
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.