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 $7.08 Median $11.22 Typical High $32.36 | Facility | None | $7.08 | $11.22 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $12.88 | Professional | None | $6.46 | $7.24 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $28.18 Typical High $42.66 | Facility | None | $10.47 | $28.18 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $6.46 Typical High $19.05 | Professional | None | $3.89 | $6.46 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $11.22 Typical High $28.18 | Facility | None | $5.50 | $11.22 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $6.76 Typical High $13.49 | Professional | None | $4.90 | $6.76 | $13.49 |
Denver HMP Setting Facility Modifier None Typical Low $7.08 Median $9.33 Typical High $18.62 | Facility | None | $7.08 | $9.33 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $23.99 | Professional | None | $7.41 | $13.18 | $23.99 |
Select Health Setting Facility Modifier None Typical Low $9.33 Median $17.38 Typical High $19.50 | Facility | None | $9.33 | $17.38 | $19.50 |
Select Health Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $9.33 | Professional | None | $6.46 | $6.46 | $9.33 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $7.08 | Professional | None | $3.89 | $5.50 | $7.08 |
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 $3.47 Median $3.55 Typical High $4.68 | Professional | 52 · Reduced service | $3.47 | $3.55 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.86 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.86 |
Where Colorado sits
The same service costs 12.9 times more in Vermont 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· 28th of 51
$9.33
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.