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 $14.45 Typical High $31.62 | Facility | None | $6.92 | $14.45 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $6.92 | Professional | None | $5.13 | $5.25 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $20.42 Typical High $31.62 | Facility | None | $7.76 | $20.42 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $4.68 Typical High $14.13 | Professional | None | $2.88 | $4.68 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.32 Typical High $20.89 | Facility | None | $3.98 | $8.32 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $9.77 | Professional | None | $3.55 | $5.01 | $9.77 |
Denver HMP Setting Facility Modifier None Typical Low $5.25 Median $7.41 Typical High $13.80 | Facility | None | $5.25 | $7.41 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.50 Median $10.00 Typical High $26.92 | Professional | None | $5.50 | $10.00 | $26.92 |
Select Health Setting Facility Modifier None Typical Low $6.92 Median $12.59 Typical High $14.45 | Facility | None | $6.92 | $12.59 | $14.45 |
Select Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.92 | Professional | None | $4.79 | $4.79 | $6.92 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $2.88 Median $3.98 Typical High $5.50 | Professional | None | $2.88 | $3.98 | $5.50 |
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 $2.57 Median $2.63 Typical High $3.47 | Professional | 52 · Reduced service | $2.57 | $2.63 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.05 Typical High $1.38 | Professional | 53 · Discontinued | $1.02 | $1.05 | $1.38 |
Where Colorado sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 23rd of 51
$7.08
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.