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 $9.77 Median $22.39 Typical High $44.67 | Facility | None | $9.77 | $22.39 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $17.78 | Professional | None | $8.91 | $10.23 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $38.90 Typical High $58.88 | Facility | None | $14.45 | $38.90 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $26.30 | Professional | None | $5.37 | $8.91 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $15.49 Typical High $38.90 | Facility | None | $7.59 | $15.49 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $18.62 | Professional | None | $6.76 | $9.55 | $18.62 |
Denver HMP Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $25.70 | Facility | None | $9.77 | $14.13 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $33.11 | Professional | None | $10.23 | $18.20 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $26.92 | Facility | None | $12.88 | $23.99 | $26.92 |
Select Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $12.88 | Professional | None | $9.12 | $9.12 | $12.88 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $9.55 | Professional | None | $5.37 | $7.59 | $9.55 |
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 $4.79 Median $4.90 Typical High $6.46 | Professional | 52 · Reduced service | $4.79 | $4.90 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.57 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.57 |
Where Colorado sits
The same service costs 13.5 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· 27th of 51
$13.49
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.