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 $15.85 Median $33.11 Typical High $72.44 | Facility | None | $15.85 | $33.11 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | None | $10.96 | $12.02 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $46.77 Typical High $72.44 | Facility | None | $16.60 | $46.77 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.72 Typical High $32.36 | Professional | None | $6.61 | $10.72 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.05 Typical High $47.86 | Facility | None | $9.12 | $19.05 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $22.91 | Professional | None | $8.13 | $11.48 | $22.91 |
Denver HMP Setting Facility Modifier None Typical Low $12.02 Median $16.98 Typical High $31.62 | Facility | None | $12.02 | $16.98 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $22.91 Typical High $61.66 | Professional | None | $12.59 | $22.91 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $15.85 Median $28.84 Typical High $33.11 | Facility | None | $15.85 | $28.84 | $33.11 |
Select Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $12.59 | Professional | None | $6.61 | $9.33 | $12.59 |
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 $5.89 Median $6.03 Typical High $7.94 | Professional | 52 · Reduced service | $5.89 | $6.03 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.40 Typical High $3.16 | Professional | 53 · Discontinued | $2.34 | $2.40 | $3.16 |
Where Colorado sits
The same service costs 3.7 times more in Kansas than in Oklahoma. 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
$16.98
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.