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 $22.39 Median $51.29 Typical High $102.33 | Facility | None | $22.39 | $51.29 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $40.74 | Professional | None | $21.88 | $26.92 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $89.13 Typical High $134.90 | Facility | None | $31.62 | $89.13 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $61.66 | Professional | None | $12.30 | $20.42 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $91.20 | Facility | None | $17.38 | $35.48 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $42.66 | Professional | None | $15.14 | $21.88 | $42.66 |
Denver HMP Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $58.88 | Facility | None | $22.39 | $32.36 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $75.86 | Professional | None | $23.44 | $41.69 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $54.95 Typical High $61.66 | Facility | None | $29.51 | $54.95 | $61.66 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $29.51 | Professional | None | $20.89 | $20.89 | $29.51 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $23.44 | Professional | None | $12.30 | $17.38 | $23.44 |
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 $11.22 Median $11.22 Typical High $14.79 | Professional | 52 · Reduced service | $11.22 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.03 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.03 |
Where Colorado sits
The same service costs 6.8 times more in Vermont than in Alabama. 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· 18th of 51
$34.67
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.