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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $39.81 | Professional | None | $25.70 | $27.54 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | None | $28.18 | $38.02 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $53.70 | Professional | None | $30.20 | $33.88 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $27.54 Median $31.62 Typical High $38.90 | Facility | None | $27.54 | $31.62 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $54.95 | Professional | None | $21.38 | $32.36 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $52.48 | Facility | None | $25.12 | $46.77 | $52.48 |
Select Health Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $36.31 | Professional | None | $19.95 | $25.70 | $36.31 |
United Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $54.95 | Professional | None | $30.20 | $37.15 | $54.95 |
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 $13.80 Typical High $14.79 | Professional | 52 · Reduced service | $12.59 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $6.03 | Professional | 53 · Discontinued | $5.13 | $5.50 | $6.03 |
Where Colorado sits
The same service costs 2.9 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· 19th of 51
$35.48
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.