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 $13.18 Median $30.20 Typical High $60.26 | Facility | None | $13.18 | $30.20 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $23.99 | Professional | None | $10.96 | $13.18 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $51.29 Typical High $79.43 | Facility | None | $19.50 | $51.29 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $35.48 | Professional | None | $7.24 | $11.75 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $53.70 | Facility | None | $10.00 | $15.14 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $25.12 | Professional | None | $8.13 | $12.59 | $25.12 |
Denver HMP Setting Facility Modifier None Typical Low $13.18 Median $15.49 Typical High $22.91 | Facility | None | $13.18 | $15.49 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $25.12 Typical High $61.66 | Professional | None | $13.80 | $25.12 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $36.31 | Facility | None | $17.38 | $31.62 | $36.31 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $17.38 | Professional | None | $12.02 | $12.02 | $17.38 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $12.88 | Professional | None | $7.24 | $7.24 | $12.88 |
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 $6.03 Median $6.61 Typical High $8.71 | Professional | 52 · Reduced service | $6.03 | $6.61 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.63 Typical High $3.47 | Professional | 53 · Discontinued | $2.40 | $2.63 | $3.47 |
Where Colorado sits
The same service costs 4.0 times more in Alaska 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· 20th of 51
$17.38
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.