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 $8.13 Median $20.42 Typical High $50.12 | Facility | None | $8.13 | $20.42 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $10.96 | Professional | None | $7.24 | $8.13 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $32.36 Typical High $48.98 | Facility | None | $11.48 | $32.36 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $7.41 Typical High $22.39 | Professional | None | $4.57 | $7.41 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $13.18 Typical High $33.11 | Facility | None | $6.31 | $13.18 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $15.49 | Professional | None | $5.50 | $7.94 | $15.49 |
Denver HMP Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $21.88 | Facility | None | $8.13 | $11.75 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $41.69 | Professional | None | $8.71 | $15.85 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $22.91 | Facility | None | $10.72 | $19.95 | $22.91 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $10.72 | Professional | None | $7.59 | $7.59 | $10.72 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $8.71 | Professional | None | $4.57 | $6.31 | $8.71 |
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 $4.07 Median $4.07 Typical High $5.50 | Professional | 52 · Reduced service | $4.07 | $4.07 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.19 | Professional | 53 · Discontinued | $1.62 | $1.62 | $2.19 |
Where Colorado sits
The same service costs 4.9 times more in South Carolina 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· 26th of 51
$10.96
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.