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 $13.18 Median $27.54 Typical High $60.26 | Facility | None | $13.18 | $27.54 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $13.18 | Professional | None | $9.12 | $10.00 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $39.81 Typical High $60.26 | Facility | None | $14.79 | $39.81 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $26.92 | Professional | None | $5.50 | $9.12 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $15.85 Typical High $39.81 | Facility | None | $7.76 | $15.85 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $19.05 | Professional | None | $6.76 | $9.77 | $19.05 |
Denver HMP Setting Facility Modifier None Typical Low $10.00 Median $14.13 Typical High $26.30 | Facility | None | $10.00 | $14.13 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $19.05 Typical High $51.29 | Professional | None | $10.47 | $19.05 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $27.54 | Facility | None | $13.18 | $24.55 | $27.54 |
Select Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $13.18 | Professional | None | $9.12 | $9.12 | $13.18 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $9.77 | Professional | None | $5.50 | $7.76 | $9.77 |
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 $4.90 Median $5.01 Typical High $6.61 | Professional | 52 · Reduced service | $4.90 | $5.01 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.63 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.63 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in New York. 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· 20th of 51
$13.80
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.