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 $8.91 Median $20.42 Typical High $41.69 | Facility | None | $8.91 | $20.42 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $16.22 | Professional | None | $7.76 | $9.12 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $35.48 Typical High $53.70 | Facility | None | $13.18 | $35.48 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $8.13 Typical High $23.99 | Professional | None | $4.90 | $8.13 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $14.13 Typical High $36.31 | Facility | None | $6.92 | $14.13 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $16.60 | Professional | None | $6.03 | $8.71 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $23.44 | Facility | None | $8.91 | $12.88 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $45.71 | Professional | None | $9.33 | $16.98 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $11.75 Median $21.88 Typical High $24.55 | Facility | None | $11.75 | $21.88 | $24.55 |
Select Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | None | $8.32 | $8.32 | $11.75 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $10.00 | Professional | None | $4.90 | $6.92 | $10.00 |
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 $4.47 Median $4.47 Typical High $5.89 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.40 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.40 |
Where Colorado sits
The same service costs 4.5 times more in Alaska 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· 23rd of 51
$13.18
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.