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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $26.92 | Professional | None | $18.20 | $22.91 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $41.69 | Professional | None | $21.88 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $34.67 | Professional | None | $20.89 | $25.12 | $34.67 |
Denver HMP Setting Facility Modifier None Typical Low $21.38 Median $22.91 Typical High $33.11 | Facility | None | $21.38 | $22.91 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $45.71 | Professional | None | $20.42 | $29.51 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $22.91 Median $42.66 Typical High $47.86 | Facility | None | $22.91 | $42.66 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $36.31 | Professional | None | $17.38 | $22.91 | $36.31 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $36.31 | Professional | None | $19.05 | $23.44 | $36.31 |
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 $9.12 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $9.12 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $3.63 | $4.57 | $4.57 |
Where Colorado sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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
$26.30
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.