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 $6.92 Median $19.05 Typical High $41.69 | Facility | None | $6.92 | $19.05 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $9.12 | Professional | None | $6.03 | $6.92 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $27.54 Typical High $41.69 | Facility | None | $10.23 | $27.54 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $6.31 Typical High $18.62 | Professional | None | $3.80 | $6.31 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $10.96 Typical High $27.54 | Facility | None | $5.37 | $10.96 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $6.76 Typical High $12.88 | Professional | None | $4.57 | $6.76 | $12.88 |
Denver HMP Setting Facility Modifier None Typical Low $6.92 Median $10.00 Typical High $18.20 | Facility | None | $6.92 | $10.00 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $13.18 Typical High $35.48 | Professional | None | $7.24 | $13.18 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $9.12 Median $16.98 Typical High $19.05 | Facility | None | $9.12 | $16.98 | $19.05 |
Select Health Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $9.12 | Professional | None | $6.31 | $6.31 | $9.12 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $7.08 | Professional | None | $3.80 | $5.25 | $7.08 |
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 $3.39 Median $3.47 Typical High $4.57 | Professional | 52 · Reduced service | $3.39 | $3.47 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.82 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.82 |
Where Colorado sits
The same service costs 5.9 times more in Kansas than in Alabama. 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
$9.12
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.