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 $7.08 Median $14.79 Typical High $32.36 | Facility | None | $7.08 | $14.79 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $5.37 Typical High $8.32 | Professional | None | $3.09 | $5.37 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $20.89 Typical High $32.36 | Facility | None | $7.94 | $20.89 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.79 Typical High $14.45 | Professional | None | $4.17 | $4.79 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $6.76 Typical High $21.38 | Facility | None | $3.72 | $6.76 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $3.72 Typical High $10.00 | Professional | None | $1.62 | $3.72 | $10.00 |
Denver HMP Setting Facility Modifier None Typical Low $4.27 Median $5.37 Typical High $8.51 | Facility | None | $4.27 | $5.37 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $21.88 | Professional | None | $5.62 | $10.23 | $21.88 |
Select Health Setting Facility Modifier None Typical Low $7.08 Median $12.88 Typical High $14.79 | Facility | None | $7.08 | $12.88 | $14.79 |
Select Health Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.08 | Professional | None | $4.90 | $4.90 | $7.08 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $6.61 | Professional | None | $2.00 | $4.17 | $6.61 |
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 $2.34 Median $2.63 Typical High $3.47 | Professional | 52 · Reduced service | $2.34 | $2.63 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.07 Typical High $1.41 | Professional | 53 · Discontinued | $0.93 | $1.07 | $1.41 |
Where Colorado sits
The same service costs 5.4 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· 14th of 51
$7.08
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.