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 $3.09 Median $8.51 Typical High $18.62 | Facility | None | $3.09 | $8.51 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $6.03 | Professional | None | $3.02 | $3.72 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $12.02 Typical High $18.62 | Facility | None | $4.47 | $12.02 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $2.75 Typical High $8.32 | Professional | None | $2.40 | $2.75 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $4.79 Typical High $12.30 | Facility | None | $2.34 | $4.79 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.88 Typical High $5.62 | Professional | None | $1.95 | $2.88 | $5.62 |
Denver HMP Setting Facility Modifier None Typical Low $3.09 Median $3.98 Typical High $6.76 | Facility | None | $3.09 | $3.98 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.24 Median $5.89 Typical High $12.02 | Professional | None | $3.24 | $5.89 | $12.02 |
Select Health Setting Facility Modifier None Typical Low $3.98 Median $7.41 Typical High $8.51 | Facility | None | $3.98 | $7.41 | $8.51 |
Select Health Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.98 | Professional | None | $2.82 | $2.82 | $3.98 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $3.98 | Professional | None | $2.40 | $2.63 | $3.98 |
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 $1.48 Median $1.51 Typical High $2.00 | Professional | 52 · Reduced service | $1.48 | $1.51 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.62 Typical High $0.79 | Professional | 53 · Discontinued | $0.59 | $0.62 | $0.79 |
Where Colorado sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 21st of 51
$4.27
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.