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 $4.90 Median $11.22 Typical High $30.20 | Facility | None | $4.90 | $11.22 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.90 Typical High $8.91 | Professional | None | $4.27 | $4.90 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $19.50 Typical High $29.51 | Facility | None | $7.24 | $19.50 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $4.47 Typical High $13.18 | Professional | None | $2.69 | $4.47 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $7.76 Typical High $19.95 | Facility | None | $3.80 | $7.76 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $9.33 | Professional | None | $3.39 | $4.68 | $9.33 |
Denver HMP Setting Facility Modifier None Typical Low $4.90 Median $7.08 Typical High $12.88 | Facility | None | $4.90 | $7.08 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $9.33 Typical High $25.12 | Professional | None | $5.13 | $9.33 | $25.12 |
Select Health Setting Facility Modifier None Typical Low $6.46 Median $12.02 Typical High $13.49 | Facility | None | $6.46 | $12.02 | $13.49 |
Select Health Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $6.46 | Professional | None | $4.57 | $4.57 | $6.46 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $4.79 | Professional | None | $2.69 | $3.80 | $4.79 |
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 $2.40 Median $2.45 Typical High $3.24 | Professional | 52 · Reduced service | $2.40 | $2.45 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.98 Typical High $1.32 | Professional | 53 · Discontinued | $0.95 | $0.98 | $1.32 |
Where Colorado sits
The same service costs 3.0 times more in Alaska 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· 24th of 51
$6.92
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.