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 $12.88 Median $28.84 Typical High $58.88 | Facility | None | $12.88 | $28.84 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $23.44 | Professional | None | $11.75 | $13.49 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $50.12 Typical High $77.62 | Facility | None | $17.78 | $50.12 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $11.48 Typical High $34.67 | Professional | None | $7.08 | $11.48 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.42 Typical High $51.29 | Facility | None | $9.77 | $20.42 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $23.99 | Professional | None | $8.71 | $12.30 | $23.99 |
Denver HMP Setting Facility Modifier None Typical Low $12.88 Median $18.20 Typical High $33.88 | Facility | None | $12.88 | $18.20 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $23.99 Typical High $42.66 | Professional | None | $13.49 | $23.99 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $16.60 Median $30.90 Typical High $35.48 | Facility | None | $16.60 | $30.90 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $16.60 | Professional | None | $11.75 | $11.75 | $16.60 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $12.30 | Professional | None | $7.08 | $9.77 | $12.30 |
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 $6.31 Median $6.31 Typical High $8.51 | Professional | 52 · Reduced service | $6.31 | $6.31 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.39 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.39 |
Where Colorado sits
The same service costs 7.9 times more in Vermont than in Maryland. 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
$19.50
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.