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 $2.19 Median $4.57 Typical High $10.00 | Facility | None | $2.19 | $4.57 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $2.14 Typical High $3.24 | Professional | None | $1.62 | $2.14 | $3.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $6.46 Typical High $10.00 | Facility | None | $2.45 | $6.46 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.29 Median $1.48 Typical High $4.47 | Professional | None | $1.29 | $1.48 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $2.63 Typical High $6.61 | Facility | None | $1.29 | $2.63 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.48 Typical High $3.09 | Professional | None | $1.17 | $1.48 | $3.09 |
Denver HMP Setting Facility Modifier None Typical Low $1.66 Median $2.34 Typical High $4.37 | Facility | None | $1.66 | $2.34 | $4.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.74 Median $3.16 Typical High $8.51 | Professional | None | $1.74 | $3.16 | $8.51 |
Select Health Setting Facility Modifier None Typical Low $2.19 Median $3.98 Typical High $4.57 | Facility | None | $2.19 | $3.98 | $4.57 |
Select Health Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $2.19 | Professional | None | $1.51 | $1.51 | $2.19 |
United Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.78 Typical High $2.19 | Professional | None | $1.29 | $1.78 | $2.19 |
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 $0.81 Median $0.83 Typical High $1.10 | Professional | 52 · Reduced service | $0.81 | $0.83 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.33 Typical High $0.49 | Professional | 53 · Discontinued | $0.32 | $0.33 | $0.49 |
Where Colorado sits
The same service costs 3.2 times more in Kansas 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
$2.51
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.