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 $21.38 Median $48.98 Typical High $97.72 | Facility | None | $21.38 | $48.98 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $41.69 | Professional | None | $20.89 | $25.70 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $83.18 Typical High $128.82 | Facility | None | $31.62 | $83.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $19.05 Typical High $57.54 | Professional | None | $11.75 | $19.05 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.88 Typical High $85.11 | Facility | None | $16.22 | $33.88 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $40.74 | Professional | None | $14.45 | $20.42 | $40.74 |
Denver HMP Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $56.23 | Facility | None | $21.38 | $30.20 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $39.81 Typical High $70.79 | Professional | None | $22.39 | $39.81 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $28.18 Median $51.29 Typical High $58.88 | Facility | None | $28.18 | $51.29 | $58.88 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | None | $19.50 | $19.50 | $28.18 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $23.99 | Professional | None | $11.75 | $16.22 | $23.99 |
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 $10.47 Median $10.72 Typical High $14.13 | Professional | 52 · Reduced service | $10.47 | $10.72 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.27 Typical High $5.62 | Professional | 53 · Discontinued | $4.17 | $4.27 | $5.62 |
Where Colorado sits
The same service costs 7.8 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· 24th of 51
$30.90
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.