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 $10.96 Median $25.12 Typical High $51.29 | Facility | None | $10.96 | $25.12 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $20.42 | Professional | None | $10.23 | $11.75 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $43.65 Typical High $66.07 | Facility | None | $16.22 | $43.65 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $10.00 Typical High $30.20 | Professional | None | $6.17 | $10.00 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $17.78 Typical High $44.67 | Facility | None | $8.51 | $17.78 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $20.89 | Professional | None | $7.59 | $10.72 | $20.89 |
Denver HMP Setting Facility Modifier None Typical Low $10.96 Median $15.85 Typical High $28.84 | Facility | None | $10.96 | $15.85 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $37.15 | Professional | None | $11.75 | $20.89 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $26.92 Typical High $30.90 | Facility | None | $14.45 | $26.92 | $30.90 |
Select Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $14.45 | Professional | None | $10.23 | $10.23 | $14.45 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $11.75 | Professional | None | $6.17 | $8.51 | $11.75 |
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 $5.50 Median $5.50 Typical High $7.41 | Professional | 52 · Reduced service | $5.50 | $5.50 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.95 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.95 |
Where Colorado sits
The same service costs 7.9 times more in Vermont 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· 24th of 51
$15.85
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.