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 $7.76 Median $14.79 Typical High $35.48 | Facility | None | $7.76 | $14.79 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $13.80 | Professional | None | $6.76 | $7.94 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $30.20 Typical High $46.77 | Facility | None | $11.48 | $30.20 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $20.89 | Professional | None | $4.27 | $7.08 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.30 Typical High $30.90 | Facility | None | $6.03 | $12.30 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $7.41 Typical High $14.45 | Professional | None | $5.25 | $7.41 | $14.45 |
Denver HMP Setting Facility Modifier None Typical Low $7.76 Median $10.23 Typical High $20.42 | Facility | None | $7.76 | $10.23 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $14.79 Typical High $26.92 | Professional | None | $8.13 | $14.79 | $26.92 |
Select Health Setting Facility Modifier None Typical Low $10.23 Median $18.62 Typical High $21.38 | Facility | None | $10.23 | $18.62 | $21.38 |
Select Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $10.23 | Professional | None | $7.08 | $7.08 | $10.23 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $7.59 | Professional | None | $4.27 | $6.03 | $7.59 |
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 $3.80 Median $3.89 Typical High $5.13 | Professional | 52 · Reduced service | $3.80 | $3.89 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.55 Typical High $2.04 | Professional | 53 · Discontinued | $1.51 | $1.55 | $2.04 |
Where Colorado sits
The same service costs 26.9 times more in Vermont 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· 21st of 51
$11.48
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.