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 $19.05 Median $43.65 Typical High $89.13 | Facility | None | $19.05 | $43.65 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $30.90 | Professional | None | $15.85 | $19.05 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $75.86 Typical High $114.82 | Facility | None | $28.18 | $75.86 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $52.48 | Professional | None | $10.72 | $17.38 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $30.90 Typical High $77.62 | Facility | None | $14.79 | $30.90 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $36.31 | Professional | None | $13.18 | $18.62 | $36.31 |
Denver HMP Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $50.12 | Facility | None | $19.05 | $27.54 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $36.31 Typical High $64.57 | Professional | None | $20.42 | $36.31 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $52.48 | Facility | None | $25.12 | $46.77 | $52.48 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | None | $17.78 | $17.78 | $25.12 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $20.42 | Professional | None | $10.72 | $14.79 | $20.42 |
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 $9.55 Median $9.55 Typical High $12.88 | Professional | 52 · Reduced service | $9.55 | $9.55 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $5.13 | Professional | 53 · Discontinued | $3.80 | $3.80 | $5.13 |
Where Colorado sits
The same service costs 15.8 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· 26th of 51
$25.12
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.