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 $4.57 Median $10.47 Typical High $20.89 | Facility | None | $4.57 | $10.47 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $8.91 | Professional | None | $4.47 | $5.37 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $18.20 Typical High $27.54 | Facility | None | $6.76 | $18.20 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $4.17 Typical High $12.30 | Professional | None | $2.51 | $4.17 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $7.24 Typical High $18.20 | Facility | None | $3.55 | $7.24 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $8.71 | Professional | None | $3.02 | $4.47 | $8.71 |
Denver HMP Setting Facility Modifier None Typical Low $4.57 Median $6.61 Typical High $12.02 | Facility | None | $4.57 | $6.61 | $12.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $15.49 | Professional | None | $4.79 | $8.51 | $15.49 |
Select Health Setting Facility Modifier None Typical Low $6.03 Median $11.22 Typical High $12.59 | Facility | None | $6.03 | $11.22 | $12.59 |
Select Health Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $6.03 | Professional | None | $4.17 | $4.17 | $6.03 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $4.47 | Professional | None | $2.51 | $3.55 | $4.47 |
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 $2.24 Median $2.29 Typical High $3.02 | Professional | 52 · Reduced service | $2.24 | $2.29 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.91 Typical High $1.20 | Professional | 53 · Discontinued | $0.89 | $0.91 | $1.20 |
Where Colorado sits
The same service costs 14.5 times more in Minnesota 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.