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 $9.33 Median $21.38 Typical High $43.65 | Facility | None | $9.33 | $21.38 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.55 Typical High $17.38 | Professional | None | $8.32 | $9.55 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $37.15 Typical High $56.23 | Facility | None | $13.18 | $37.15 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $8.51 Typical High $25.70 | Professional | None | $5.25 | $8.51 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $15.14 Typical High $38.02 | Facility | None | $7.24 | $15.14 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $17.38 | Professional | None | $6.31 | $9.12 | $17.38 |
Denver HMP Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $24.55 | Facility | None | $9.33 | $13.49 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $47.86 | Professional | None | $10.00 | $17.78 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $12.30 Median $22.91 Typical High $26.30 | Facility | None | $12.30 | $22.91 | $26.30 |
Select Health Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $12.30 | Professional | None | $8.71 | $8.71 | $12.30 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $10.00 | Professional | None | $5.25 | $7.24 | $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 $4.68 Median $4.68 Typical High $6.31 | Professional | 52 · Reduced service | $4.68 | $4.68 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.51 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.51 |
Where Colorado sits
The same service costs 8.1 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· 26th 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.