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 $5.75 Median $12.02 Typical High $26.92 | Facility | None | $5.75 | $12.02 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $7.94 | Professional | None | $4.37 | $4.37 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $17.38 Typical High $26.30 | Facility | None | $6.46 | $17.38 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $11.75 | Professional | None | $2.40 | $3.98 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.92 Typical High $17.78 | Facility | None | $3.39 | $6.92 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $8.32 | Professional | None | $3.02 | $4.07 | $8.32 |
Denver HMP Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $11.48 | Facility | None | $4.37 | $5.75 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.57 Median $8.32 Typical High $22.39 | Professional | None | $4.57 | $8.32 | $22.39 |
Select Health Setting Facility Modifier None Typical Low $5.75 Median $10.72 Typical High $12.02 | Facility | None | $5.75 | $10.72 | $12.02 |
Select Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.75 | Professional | None | $4.07 | $4.07 | $5.75 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.39 Typical High $4.57 | Professional | None | $2.40 | $3.39 | $4.57 |
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 $2.19 Median $2.19 Typical High $2.88 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $1.15 | Professional | 53 · Discontinued | $0.87 | $0.87 | $1.15 |
Where Colorado sits
The same service costs 4.0 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
$6.31
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.