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 $15.49 Median $35.48 Typical High $70.79 | Facility | None | $15.49 | $35.48 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $20.42 | Professional | None | $12.88 | $15.49 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $61.66 Typical High $93.33 | Facility | None | $21.38 | $61.66 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $14.13 Typical High $41.69 | Professional | None | $8.51 | $14.13 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $24.55 Typical High $61.66 | Facility | None | $12.02 | $24.55 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $29.51 | Professional | None | $10.47 | $14.79 | $29.51 |
Denver HMP Setting Facility Modifier None Typical Low $15.49 Median $21.88 Typical High $40.74 | Facility | None | $15.49 | $21.88 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $29.51 Typical High $79.43 | Professional | None | $16.22 | $29.51 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $38.02 Typical High $42.66 | Facility | None | $20.42 | $38.02 | $42.66 |
Select Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $20.42 | Professional | None | $14.13 | $14.13 | $20.42 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $15.14 | Professional | None | $8.51 | $12.02 | $15.14 |
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 $7.59 Median $7.76 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $4.07 | Professional | 53 · Discontinued | $3.02 | $3.09 | $4.07 |
Where Colorado sits
The same service costs 3.3 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
$21.38
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.