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 $4.68 Median $9.77 Typical High $21.88 | Facility | None | $4.68 | $9.77 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.55 Typical High $4.79 | Professional | None | $3.47 | $3.55 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $14.13 Typical High $21.38 | Facility | None | $5.25 | $14.13 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.24 Typical High $9.55 | Professional | None | $1.95 | $3.24 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $5.62 Typical High $14.45 | Facility | None | $2.75 | $5.62 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $3.39 Typical High $6.76 | Professional | None | $2.19 | $3.39 | $6.76 |
Denver HMP Setting Facility Modifier None Typical Low $3.55 Median $5.13 Typical High $8.91 | Facility | None | $3.55 | $5.13 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.72 Median $6.76 Typical High $18.20 | Professional | None | $3.72 | $6.76 | $18.20 |
Select Health Setting Facility Modifier None Typical Low $4.68 Median $8.71 Typical High $9.77 | Facility | None | $4.68 | $8.71 | $9.77 |
Select Health Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.68 | Professional | None | $3.31 | $3.31 | $4.68 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.51 Typical High $3.47 | Professional | None | $1.95 | $2.51 | $3.47 |
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 $1.74 Median $1.78 Typical High $2.34 | Professional | 52 · Reduced service | $1.74 | $1.78 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.71 Typical High $0.95 | Professional | 53 · Discontinued | $0.69 | $0.71 | $0.95 |
Where Colorado sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 24th of 51
$4.79
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.