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 $2.40 Median $5.50 Typical High $10.96 | Facility | None | $2.40 | $5.50 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $4.79 | Professional | None | $2.40 | $3.02 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.55 Median $9.55 Typical High $14.45 | Facility | None | $3.55 | $9.55 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $6.46 | Professional | None | $1.91 | $2.19 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $3.80 Typical High $9.77 | Facility | None | $1.86 | $3.80 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $1.70 Median $2.24 Typical High $4.57 | Professional | None | $1.70 | $2.24 | $4.57 |
Denver HMP Setting Facility Modifier None Typical Low $2.40 Median $3.47 Typical High $6.31 | Facility | None | $2.40 | $3.47 | $6.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.51 Median $4.47 Typical High $8.13 | Professional | None | $2.51 | $4.47 | $8.13 |
Select Health Setting Facility Modifier None Typical Low $3.16 Median $5.89 Typical High $6.61 | Facility | None | $3.16 | $5.89 | $6.61 |
Select Health Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.16 | Professional | None | $2.24 | $2.24 | $3.16 |
United Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $3.16 | Professional | None | $1.91 | $2.57 | $3.16 |
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 $1.20 Median $1.20 Typical High $1.58 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.48 Typical High $0.72 | Professional | 53 · Discontinued | $0.47 | $0.48 | $0.72 |
Where Colorado sits
The same service costs 22.4 times more in Minnesota 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· 22nd of 51
$3.72
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.