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 $17.78 Median $37.15 Typical High $81.28 | Facility | None | $17.78 | $37.15 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $17.78 | Professional | None | $13.18 | $13.49 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $52.48 Typical High $81.28 | Facility | None | $18.62 | $52.48 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $36.31 | Professional | None | $7.41 | $12.30 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $21.38 Typical High $53.70 | Facility | None | $10.23 | $21.38 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $25.70 | Professional | None | $9.12 | $12.88 | $25.70 |
Denver HMP Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $35.48 | Facility | None | $13.49 | $19.05 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $69.18 | Professional | None | $14.13 | $25.70 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $32.36 Typical High $37.15 | Facility | None | $17.78 | $32.36 | $37.15 |
Select Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $17.78 | Professional | None | $12.30 | $12.30 | $17.78 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $14.13 | Professional | None | $7.41 | $10.47 | $14.13 |
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 $6.61 Median $6.76 Typical High $8.91 | Professional | 52 · Reduced service | $6.61 | $6.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.69 Typical High $3.55 | Professional | 53 · Discontinued | $2.63 | $2.69 | $3.55 |
Where Colorado sits
The same service costs 3.6 times more in Kansas than in Oklahoma. 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· 23rd of 51
$18.20
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.