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 $2.88 Median $6.46 Typical High $13.18 | Facility | None | $2.88 | $6.46 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.09 Typical High $4.90 | Professional | None | $2.63 | $3.09 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $11.48 Typical High $17.38 | Facility | None | $4.27 | $11.48 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.29 Median $2.63 Typical High $7.76 | Professional | None | $2.29 | $2.63 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $4.57 Typical High $11.48 | Facility | None | $2.24 | $4.57 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $5.50 | Professional | None | $1.86 | $2.63 | $5.50 |
Denver HMP Setting Facility Modifier None Typical Low $2.88 Median $4.17 Typical High $7.24 | Facility | None | $2.88 | $4.17 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.02 Median $5.50 Typical High $14.79 | Professional | None | $3.02 | $5.50 | $14.79 |
Select Health Setting Facility Modifier None Typical Low $3.80 Median $7.08 Typical High $7.94 | Facility | None | $3.80 | $7.08 | $7.94 |
Select Health Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.80 | Professional | None | $2.63 | $2.63 | $3.80 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.04 Typical High $2.82 | Professional | None | $1.58 | $2.04 | $2.82 |
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 $1.32 Median $1.45 Typical High $1.91 | Professional | 52 · Reduced service | $1.32 | $1.45 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.58 Typical High $0.76 | Professional | 53 · Discontinued | $0.52 | $0.58 | $0.76 |
Where Colorado sits
The same service costs 11.7 times more in Minnesota 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· 25th of 51
$4.07
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.