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 $4.57 Median $9.55 Typical High $20.89 | Facility | None | $4.57 | $9.55 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $4.57 | Professional | None | $3.39 | $3.47 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $13.80 Typical High $20.89 | Facility | None | $5.13 | $13.80 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $9.33 | Professional | None | $1.91 | $3.16 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $5.50 Typical High $13.80 | Facility | None | $2.63 | $5.50 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $6.61 | Professional | None | $2.34 | $3.24 | $6.61 |
Denver HMP Setting Facility Modifier None Typical Low $2.75 Median $4.47 Typical High $9.12 | Facility | None | $2.75 | $4.47 | $9.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.63 Median $6.61 Typical High $17.78 | Professional | None | $3.63 | $6.61 | $17.78 |
Select Health Setting Facility Modifier None Typical Low $4.57 Median $8.51 Typical High $9.55 | Facility | None | $4.57 | $8.51 | $9.55 |
Select Health Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.57 | Professional | None | $3.16 | $3.16 | $4.57 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $3.39 | Professional | None | $1.91 | $2.69 | $3.39 |
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 $1.70 Median $1.74 Typical High $2.29 | Professional | 52 · Reduced service | $1.70 | $1.74 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.69 Typical High $0.91 | Professional | 53 · Discontinued | $0.68 | $0.69 | $0.91 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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· 26th of 51
$4.57
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.