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 $3.89 Median $8.71 Typical High $17.78 | Facility | None | $3.89 | $8.71 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.89 Typical High $7.08 | Professional | None | $3.39 | $3.89 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $15.14 Typical High $22.91 | Facility | None | $5.75 | $15.14 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.47 Typical High $10.47 | Professional | None | $2.14 | $3.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $6.17 Typical High $15.49 | Facility | None | $2.95 | $6.17 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.72 Typical High $7.24 | Professional | None | $2.51 | $3.72 | $7.24 |
Denver HMP Setting Facility Modifier None Typical Low $3.89 Median $5.50 Typical High $10.00 | Facility | None | $3.89 | $5.50 | $10.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.07 Median $7.41 Typical High $19.50 | Professional | None | $4.07 | $7.41 | $19.50 |
Select Health Setting Facility Modifier None Typical Low $5.01 Median $9.33 Typical High $10.72 | Facility | None | $5.01 | $9.33 | $10.72 |
Select Health Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $5.01 | Professional | None | $3.55 | $3.55 | $5.01 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.82 Typical High $3.72 | Professional | None | $2.14 | $2.82 | $3.72 |
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 $1.86 Median $1.95 Typical High $2.57 | Professional | 52 · Reduced service | $1.86 | $1.95 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $1.02 | Professional | 53 · Discontinued | $0.76 | $0.78 | $1.02 |
Where Colorado sits
The same service costs 9.3 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· 25th of 51
$5.50
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.