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 $6.46 Median $14.79 Typical High $38.90 | Facility | None | $6.46 | $14.79 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.46 Typical High $8.51 | Professional | None | $5.89 | $6.46 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $25.12 Typical High $38.90 | Facility | None | $9.55 | $25.12 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $5.75 Typical High $17.38 | Professional | None | $3.55 | $5.75 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.23 Typical High $25.70 | Facility | None | $4.90 | $10.23 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $11.75 | Professional | None | $4.37 | $6.17 | $11.75 |
Denver HMP Setting Facility Modifier None Typical Low $6.46 Median $9.12 Typical High $16.98 | Facility | None | $6.46 | $9.12 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.76 Median $12.30 Typical High $33.11 | Professional | None | $6.76 | $12.30 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $17.78 | Facility | None | $8.51 | $15.49 | $17.78 |
Select Health Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $8.51 | Professional | None | $5.89 | $5.89 | $8.51 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $6.76 | Professional | None | $3.55 | $5.01 | $6.76 |
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 $3.16 Median $3.24 Typical High $4.27 | Professional | 52 · Reduced service | $3.16 | $3.24 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.29 Typical High $1.70 | Professional | 53 · Discontinued | $1.26 | $1.29 | $1.70 |
Where Colorado sits
The same service costs 4.0 times more in Kansas 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· 19th of 51
$9.12
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.