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 $4.27 Median $10.00 Typical High $19.95 | Facility | None | $4.27 | $10.00 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $8.51 | Professional | None | $3.98 | $4.79 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $16.98 Typical High $25.70 | Facility | None | $6.31 | $16.98 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.89 Typical High $11.75 | Professional | None | $2.40 | $3.89 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.92 Typical High $17.38 | Facility | None | $3.31 | $6.92 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $8.13 | Professional | None | $2.82 | $4.27 | $8.13 |
Denver HMP Setting Facility Modifier None Typical Low $4.27 Median $6.17 Typical High $11.48 | Facility | None | $4.27 | $6.17 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.57 Median $8.13 Typical High $14.45 | Professional | None | $4.57 | $8.13 | $14.45 |
Select Health Setting Facility Modifier None Typical Low $5.62 Median $10.47 Typical High $12.02 | Facility | None | $5.62 | $10.47 | $12.02 |
Select Health Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $5.62 | Professional | None | $3.98 | $3.98 | $5.62 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.31 Typical High $4.57 | Professional | None | $2.40 | $3.31 | $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 $2.14 Median $2.14 Typical High $2.88 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.85 Typical High $1.15 | Professional | 53 · Discontinued | $0.83 | $0.85 | $1.15 |
Where Colorado sits
The same service costs 13.5 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· 18th of 51
$6.61
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.