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 $16.60 Median $38.02 Typical High $75.86 | Facility | None | $16.60 | $38.02 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $30.20 | Professional | None | $14.45 | $16.98 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $64.57 Typical High $100.00 | Facility | None | $22.91 | $64.57 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $44.67 | Professional | None | $9.12 | $14.79 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $26.30 Typical High $66.07 | Facility | None | $12.59 | $26.30 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $30.90 | Professional | None | $11.22 | $15.85 | $30.90 |
Denver HMP Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $43.65 | Facility | None | $16.60 | $23.44 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $30.90 Typical High $43.65 | Professional | None | $17.38 | $30.90 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $39.81 Typical High $45.71 | Facility | None | $21.88 | $39.81 | $45.71 |
Select Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | None | $15.14 | $15.14 | $21.88 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $16.22 | Professional | None | $9.12 | $12.88 | $16.22 |
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 $8.13 Median $8.32 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $8.32 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $3.31 | $4.37 |
Where Colorado sits
The same service costs 4.8 times more in Vermont 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· 18th of 51
$25.12
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.