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 $15.14 Median $31.62 Typical High $69.18 | Facility | None | $15.14 | $31.62 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $15.14 | Professional | None | $9.55 | $11.48 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $44.67 Typical High $69.18 | Facility | None | $15.85 | $44.67 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $30.90 | Professional | None | $6.31 | $10.23 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $18.20 Typical High $45.71 | Facility | None | $8.71 | $18.20 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $21.38 | Professional | None | $7.76 | $10.96 | $21.38 |
Denver HMP Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $30.20 | Facility | None | $11.48 | $16.22 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $58.88 | Professional | None | $12.02 | $21.88 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $15.14 Median $27.54 Typical High $31.62 | Facility | None | $15.14 | $27.54 | $31.62 |
Select Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $15.14 | Professional | None | $10.47 | $10.47 | $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 $6.31 Median $8.91 Typical High $11.22 | Professional | None | $6.31 | $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 $5.62 Median $5.75 Typical High $7.59 | Professional | 52 · Reduced service | $5.62 | $5.75 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $3.02 | Professional | 53 · Discontinued | $2.24 | $2.29 | $3.02 |
Where Colorado sits
The same service costs 4.3 times more in Kansas 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· 19th of 51
$15.85
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.