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 $14.45 Median $33.11 Typical High $66.07 | Facility | None | $14.45 | $33.11 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $26.30 | Professional | None | $13.18 | $16.22 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $56.23 Typical High $87.10 | Facility | None | $21.38 | $56.23 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $38.90 | Professional | None | $7.94 | $13.18 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $22.91 Typical High $57.54 | Facility | None | $10.96 | $22.91 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $27.54 | Professional | None | $9.77 | $13.80 | $27.54 |
Denver HMP Setting Facility Modifier None Typical Low $14.45 Median $20.42 Typical High $38.02 | Facility | None | $14.45 | $20.42 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $27.54 Typical High $74.13 | Professional | None | $15.14 | $27.54 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $19.05 Median $35.48 Typical High $39.81 | Facility | None | $19.05 | $35.48 | $39.81 |
Select Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.05 | Professional | None | $13.18 | $13.18 | $19.05 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $14.13 | Professional | None | $7.94 | $11.22 | $14.13 |
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 $7.08 Median $7.24 Typical High $9.55 | Professional | 52 · Reduced service | $7.08 | $7.24 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $3.80 | Professional | 53 · Discontinued | $2.82 | $2.88 | $3.80 |
Where Colorado sits
The same service costs 5.0 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· 22nd of 51
$22.39
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.