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 $17.38 Median $39.81 Typical High $81.28 | Facility | None | $17.38 | $39.81 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $22.91 | Professional | None | $12.30 | $17.38 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $69.18 Typical High $104.71 | Facility | None | $24.55 | $69.18 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $15.85 Typical High $46.77 | Professional | None | $9.55 | $15.85 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $72.44 | Facility | None | $13.49 | $19.95 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $33.11 | Professional | None | $10.96 | $16.98 | $33.11 |
Denver HMP Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $30.20 | Facility | None | $17.38 | $20.89 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $33.11 Typical High $89.13 | Professional | None | $18.20 | $33.11 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $22.91 Median $42.66 Typical High $47.86 | Facility | None | $22.91 | $42.66 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | None | $16.22 | $16.22 | $22.91 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $16.98 | Professional | None | $9.55 | $9.55 | $16.98 |
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 $7.94 Median $8.71 Typical High $11.48 | Professional | 52 · Reduced service | $7.94 | $8.71 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.47 Typical High $4.57 | Professional | 53 · Discontinued | $3.24 | $3.47 | $4.57 |
Where Colorado sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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
$22.91
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.