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 $5.50 Median $11.48 Typical High $25.12 | Facility | None | $5.50 | $11.48 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.17 Typical High $7.59 | Professional | None | $3.63 | $4.17 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $16.60 Typical High $25.12 | Facility | None | $6.17 | $16.60 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $11.22 | Professional | None | $2.29 | $3.80 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $6.61 Typical High $16.60 | Facility | None | $3.24 | $6.61 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $7.76 | Professional | None | $2.69 | $3.80 | $7.76 |
Denver HMP Setting Facility Modifier None Typical Low $4.17 Median $6.03 Typical High $9.33 | Facility | None | $4.17 | $6.03 | $9.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $7.94 Typical High $21.38 | Professional | None | $4.37 | $7.94 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $5.50 Median $10.23 Typical High $11.48 | Facility | None | $5.50 | $10.23 | $11.48 |
Select Health Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.50 | Professional | None | $3.80 | $3.80 | $5.50 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $4.07 | Professional | None | $2.29 | $2.82 | $4.07 |
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 $2.04 Median $2.09 Typical High $2.75 | Professional | 52 · Reduced service | $2.04 | $2.09 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.83 Typical High $1.10 | Professional | 53 · Discontinued | $0.81 | $0.83 | $1.10 |
Where Colorado sits
The same service costs 3.3 times more in Alaska 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
$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.