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 $8.71 Median $19.95 Typical High $39.81 | Facility | None | $8.71 | $19.95 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.71 Typical High $15.85 | Professional | None | $7.59 | $8.71 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $33.88 Typical High $52.48 | Facility | None | $12.88 | $33.88 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $23.44 | Professional | None | $4.79 | $7.76 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $13.80 Typical High $34.67 | Facility | None | $6.61 | $13.80 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $16.60 | Professional | None | $5.89 | $8.51 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $8.71 Median $12.30 Typical High $22.91 | Facility | None | $8.71 | $12.30 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $44.67 | Professional | None | $9.12 | $16.60 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $11.48 Median $20.89 Typical High $23.99 | Facility | None | $11.48 | $20.89 | $23.99 |
Select Health Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $11.48 | Professional | None | $7.94 | $7.94 | $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 $4.79 Median $6.61 Typical High $9.12 | Professional | None | $4.79 | $6.61 | $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 $4.27 Median $4.37 Typical High $5.75 | Professional | 52 · Reduced service | $4.27 | $4.37 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $2.29 | Professional | 53 · Discontinued | $1.70 | $1.74 | $2.29 |
Where Colorado sits
The same service costs 15.1 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· 28th of 51
$11.75
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.