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 $5.62 Median $11.75 Typical High $25.70 | Facility | None | $5.62 | $11.75 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $5.62 | Professional | None | $3.72 | $4.27 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $16.98 Typical High $25.70 | Facility | None | $6.31 | $16.98 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $11.48 | Professional | None | $2.34 | $3.89 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.76 Typical High $16.98 | Facility | None | $3.31 | $6.76 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $4.17 Typical High $7.76 | Professional | None | $2.69 | $4.17 | $7.76 |
Denver HMP Setting Facility Modifier None Typical Low $4.27 Median $6.03 Typical High $10.72 | Facility | None | $4.27 | $6.03 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $8.13 Typical High $21.88 | Professional | None | $4.47 | $8.13 | $21.88 |
Select Health Setting Facility Modifier None Typical Low $5.62 Median $10.47 Typical High $11.75 | Facility | None | $5.62 | $10.47 | $11.75 |
Select Health Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $5.62 | Professional | None | $3.89 | $3.89 | $5.62 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $4.37 | Professional | None | $2.34 | $3.02 | $4.37 |
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 $2.09 Median $2.14 Typical High $2.82 | Professional | 52 · Reduced service | $2.09 | $2.14 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.85 Typical High $1.12 | Professional | 53 · Discontinued | $0.83 | $0.85 | $1.12 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 22nd of 51
$5.89
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.