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 $2.63 Median $7.24 Typical High $15.85 | Facility | None | $2.63 | $7.24 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.63 Typical High $3.47 | Professional | None | $2.57 | $2.63 | $3.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $10.23 Typical High $15.85 | Facility | None | $3.63 | $10.23 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.45 Median $2.34 Typical High $7.08 | Professional | None | $1.45 | $2.34 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $4.17 Typical High $10.47 | Facility | None | $2.04 | $4.17 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $2.51 Typical High $5.01 | Professional | None | $1.86 | $2.51 | $5.01 |
Denver HMP Setting Facility Modifier None Typical Low $2.63 Median $3.72 Typical High $6.92 | Facility | None | $2.63 | $3.72 | $6.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.75 Median $5.01 Typical High $13.49 | Professional | None | $2.75 | $5.01 | $13.49 |
Select Health Setting Facility Modifier None Typical Low $3.47 Median $6.31 Typical High $7.24 | Facility | None | $3.47 | $6.31 | $7.24 |
Select Health Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.47 | Professional | None | $2.40 | $2.40 | $3.47 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.04 Typical High $2.51 | Professional | None | $1.45 | $2.04 | $2.51 |
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 $1.29 Median $1.32 Typical High $1.74 | Professional | 52 · Reduced service | $1.29 | $1.32 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.52 Typical High $0.69 | Professional | 53 · Discontinued | $0.51 | $0.52 | $0.69 |
Where Colorado sits
The same service costs 6.2 times more in Kansas 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· 26th of 51
$3.47
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.