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 $12.02 Median $25.12 Typical High $54.95 | Facility | None | $12.02 | $25.12 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $11.75 | Professional | None | $8.71 | $9.12 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $35.48 Typical High $54.95 | Facility | None | $12.59 | $35.48 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $24.55 | Professional | None | $5.01 | $8.13 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $14.45 Typical High $36.31 | Facility | None | $6.92 | $14.45 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $16.98 | Professional | None | $6.17 | $8.71 | $16.98 |
Denver HMP Setting Facility Modifier None Typical Low $9.12 Median $12.88 Typical High $23.99 | Facility | None | $9.12 | $12.88 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $45.71 | Professional | None | $9.55 | $17.38 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $11.75 Median $21.88 Typical High $25.12 | Facility | None | $11.75 | $21.88 | $25.12 |
Select Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | None | $8.32 | $8.32 | $11.75 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $8.71 | Professional | None | $5.01 | $6.92 | $8.71 |
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 $4.37 Median $4.47 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $4.47 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $2.34 | Professional | 53 · Discontinued | $1.78 | $1.82 | $2.34 |
Where Colorado sits
The same service costs 4.1 times more in Kansas than in Oklahoma. 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· 20th of 51
$12.88
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.