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 $4.07 Median $9.33 Typical High $19.05 | Facility | None | $4.07 | $9.33 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.17 Typical High $7.41 | Professional | None | $3.80 | $4.17 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $16.22 Typical High $24.55 | Facility | None | $6.03 | $16.22 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.72 Typical High $11.22 | Professional | None | $2.24 | $3.72 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $6.46 Typical High $16.60 | Facility | None | $3.16 | $6.46 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $7.76 | Professional | None | $2.82 | $3.98 | $7.76 |
Denver HMP Setting Facility Modifier None Typical Low $4.07 Median $5.89 Typical High $10.72 | Facility | None | $4.07 | $5.89 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.27 Median $7.76 Typical High $20.89 | Professional | None | $4.27 | $7.76 | $20.89 |
Select Health Setting Facility Modifier None Typical Low $5.37 Median $10.00 Typical High $11.22 | Facility | None | $5.37 | $10.00 | $11.22 |
Select Health Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.37 | Professional | None | $3.80 | $3.80 | $5.37 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $309.03 | Facility | None | $257.04 | $269.15 | $309.03 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.16 Typical High $4.07 | Professional | None | $2.24 | $3.16 | $4.07 |
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 $2.04 Median $2.04 Typical High $2.69 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $1.10 | Professional | 53 · Discontinued | $0.81 | $0.81 | $1.10 |
Where Colorado sits
The same service costs 11.2 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· 29th of 51
$5.62
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.