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 $9.77 Median $20.42 Typical High $45.71 | Facility | None | $9.77 | $20.42 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.41 Typical High $10.00 | Professional | None | $6.46 | $7.41 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $29.51 Typical High $44.67 | Facility | None | $10.96 | $29.51 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.76 Typical High $20.42 | Professional | None | $4.07 | $6.76 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $11.75 Typical High $30.20 | Facility | None | $5.75 | $11.75 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $13.80 | Professional | None | $4.68 | $7.24 | $13.80 |
Denver HMP Setting Facility Modifier None Typical Low $7.41 Median $10.72 Typical High $19.05 | Facility | None | $7.41 | $10.72 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $14.13 Typical High $38.02 | Professional | None | $7.76 | $14.13 | $38.02 |
Select Health Setting Facility Modifier None Typical Low $9.77 Median $18.20 Typical High $20.42 | Facility | None | $9.77 | $18.20 | $20.42 |
Select Health Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $9.77 | Professional | None | $6.92 | $6.92 | $9.77 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $7.76 | Professional | None | $4.07 | $5.37 | $7.76 |
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 $3.63 Median $3.72 Typical High $5.01 | Professional | 52 · Reduced service | $3.63 | $3.72 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.48 Typical High $2.00 | Professional | 53 · Discontinued | $1.45 | $1.48 | $2.00 |
Where Colorado sits
The same service costs 4.4 times more in Kansas than in Nebraska. 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
$9.77
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.