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 $19.50 Median $44.67 Typical High $89.13 | Facility | None | $19.50 | $44.67 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $35.48 | Professional | None | $19.05 | $23.44 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $77.62 Typical High $117.49 | Facility | None | $28.84 | $77.62 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $53.70 | Professional | None | $10.96 | $17.78 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $30.90 Typical High $79.43 | Facility | None | $15.14 | $30.90 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $37.15 | Professional | None | $13.18 | $19.05 | $37.15 |
Denver HMP Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $51.29 | Facility | None | $19.50 | $28.18 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $36.31 Typical High $66.07 | Professional | None | $20.42 | $36.31 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $53.70 | Facility | None | $25.70 | $47.86 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $25.70 | Professional | None | $18.20 | $18.20 | $25.70 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $20.42 | Professional | None | $10.96 | $15.14 | $20.42 |
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 $9.77 Median $9.77 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $9.77 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.25 |
Where Colorado sits
The same service costs 7.4 times more in Vermont than in Alabama. 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
$30.20
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.