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 $16.22 Typical High $35.48 | Facility | None | $7.76 | $16.22 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $7.76 | Professional | None | $5.75 | $5.89 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $22.91 Typical High $35.48 | Facility | None | $8.71 | $22.91 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $5.25 Typical High $15.85 | Professional | None | $3.24 | $5.25 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $9.33 Typical High $23.44 | Facility | None | $4.47 | $9.33 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $11.22 | Professional | None | $4.07 | $5.75 | $11.22 |
Denver HMP Setting Facility Modifier None Typical Low $5.89 Median $8.32 Typical High $17.38 | Facility | None | $5.89 | $8.32 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $11.22 Typical High $30.20 | Professional | None | $6.17 | $11.22 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $7.76 Median $14.13 Typical High $16.22 | Facility | None | $7.76 | $14.13 | $16.22 |
Select Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.76 | Professional | None | $5.37 | $5.37 | $7.76 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.01 Typical High $6.17 | Professional | None | $3.24 | $5.01 | $6.17 |
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 $2.88 Median $2.95 Typical High $3.89 | Professional | 52 · Reduced service | $2.88 | $2.95 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.17 Typical High $1.55 | Professional | 53 · Discontinued | $1.15 | $1.17 | $1.55 |
Where Colorado sits
The same service costs 3.5 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
$7.94
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.