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 $6.17 Median $14.13 Typical High $28.84 | Facility | None | $6.17 | $14.13 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.76 Typical High $12.30 | Professional | None | $6.03 | $7.76 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $24.55 Typical High $37.15 | Facility | None | $8.71 | $24.55 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $5.62 Typical High $16.98 | Professional | None | $3.47 | $5.62 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $9.77 Typical High $25.12 | Facility | None | $4.79 | $9.77 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $11.75 | Professional | None | $4.17 | $6.03 | $11.75 |
Denver HMP Setting Facility Modifier None Typical Low $6.17 Median $8.91 Typical High $16.22 | Facility | None | $6.17 | $8.91 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $11.48 Typical High $20.89 | Professional | None | $6.61 | $11.48 | $20.89 |
Select Health Setting Facility Modifier None Typical Low $8.13 Median $15.14 Typical High $16.98 | Facility | None | $8.13 | $15.14 | $16.98 |
Select Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $8.13 | Professional | None | $5.75 | $5.75 | $8.13 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.79 Typical High $6.03 | Professional | None | $3.47 | $4.79 | $6.03 |
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 $3.09 Median $3.09 Typical High $4.17 | Professional | 52 · Reduced service | $3.09 | $3.09 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.66 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.66 |
Where Colorado sits
The same service costs 17.0 times more in Vermont 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· 25th of 51
$8.91
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.