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 $8.91 Median $19.95 Typical High $40.74 | Facility | None | $8.91 | $19.95 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.91 Typical High $16.22 | Professional | None | $7.76 | $8.91 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $34.67 Typical High $53.70 | Facility | None | $13.18 | $34.67 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $23.99 | Professional | None | $4.90 | $7.94 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $14.13 Typical High $35.48 | Facility | None | $6.76 | $14.13 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $16.60 | Professional | None | $6.03 | $8.51 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $8.91 Median $12.59 Typical High $23.44 | Facility | None | $8.91 | $12.59 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $45.71 | Professional | None | $9.33 | $16.98 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $11.48 Median $21.38 Typical High $24.55 | Facility | None | $11.48 | $21.38 | $24.55 |
Select Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $11.48 | Professional | None | $8.13 | $8.13 | $11.48 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.76 Typical High $9.12 | Professional | None | $4.90 | $6.76 | $9.12 |
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 $4.37 Median $4.37 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.78 Typical High $2.34 | Professional | 53 · Discontinued | $1.74 | $1.78 | $2.34 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$12.59
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.