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 $6.03 Median $11.22 Typical High $28.18 | Facility | None | $6.03 | $11.22 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $7.94 | Professional | None | $4.27 | $6.17 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $23.99 Typical High $36.31 | Facility | None | $8.91 | $23.99 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $5.50 Typical High $16.60 | Professional | None | $3.39 | $5.50 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $9.77 Typical High $24.55 | Facility | None | $4.68 | $9.77 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $11.75 | Professional | None | $4.17 | $5.75 | $11.75 |
Denver HMP Setting Facility Modifier None Typical Low $6.17 Median $7.94 Typical High $16.22 | Facility | None | $6.17 | $7.94 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $11.75 Typical High $30.90 | Professional | None | $6.46 | $11.75 | $30.90 |
Select Health Setting Facility Modifier None Typical Low $7.94 Median $14.79 Typical High $16.98 | Facility | None | $7.94 | $14.79 | $16.98 |
Select Health Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $7.94 | Professional | None | $5.62 | $5.62 | $7.94 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $6.46 | Professional | None | $3.39 | $4.68 | $6.46 |
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 $2.95 Median $3.02 Typical High $3.98 | Professional | 52 · Reduced service | $2.95 | $3.02 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.58 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.58 |
Where Colorado sits
The same service costs 3.6 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· 21st of 51
$8.13
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.