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 $13.80 Median $28.84 Typical High $64.57 | Facility | None | $13.80 | $28.84 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.47 Typical High $14.13 | Professional | None | $9.77 | $10.47 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $41.69 Typical High $63.10 | Facility | None | $15.49 | $41.69 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $28.84 | Professional | None | $5.75 | $9.55 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $16.60 Typical High $42.66 | Facility | None | $8.13 | $16.60 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $19.95 | Professional | None | $7.24 | $10.23 | $19.95 |
Denver HMP Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $27.54 | Facility | None | $10.47 | $15.14 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $41.69 | Professional | None | $11.22 | $19.95 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $28.84 | Facility | None | $13.80 | $25.70 | $28.84 |
Select Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | None | $9.77 | $9.77 | $13.80 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $10.23 | Professional | None | $5.89 | $8.13 | $10.23 |
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 $5.25 Median $5.25 Typical High $7.08 | Professional | 52 · Reduced service | $5.25 | $5.25 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.82 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.82 |
Where Colorado sits
The same service costs 3.4 times more in Kansas 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· 23rd of 51
$15.14
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.