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 $11.48 Median $26.30 Typical High $53.70 | Facility | None | $11.48 | $26.30 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $21.38 | Professional | None | $9.55 | $11.75 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $45.71 Typical High $70.79 | Facility | None | $17.38 | $45.71 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $31.62 | Professional | None | $6.46 | $10.47 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $18.62 Typical High $46.77 | Facility | None | $8.91 | $18.62 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $21.88 | Professional | None | $7.94 | $11.22 | $21.88 |
Denver HMP Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $30.90 | Facility | None | $11.75 | $16.60 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $22.39 Typical High $60.26 | Professional | None | $12.30 | $22.39 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $15.14 Median $28.18 Typical High $32.36 | Facility | None | $15.14 | $28.18 | $32.36 |
Select Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | None | $10.72 | $10.72 | $15.14 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $11.22 | Professional | None | $6.46 | $8.91 | $11.22 |
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 $5.75 Median $5.75 Typical High $7.76 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $3.09 | Professional | 53 · Discontinued | $2.29 | $2.29 | $3.09 |
Where Colorado sits
The same service costs 11.5 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· 21st of 51
$16.60
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.