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 $2.29 Median $5.25 Typical High $10.47 | Facility | None | $2.29 | $5.25 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.45 Typical High $4.17 | Professional | None | $2.09 | $2.45 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $8.91 Typical High $13.80 | Facility | None | $3.39 | $8.91 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $2.04 Typical High $6.17 | Professional | None | $1.26 | $2.04 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $3.63 Typical High $9.12 | Facility | None | $1.74 | $3.63 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $2.24 Typical High $4.17 | Professional | None | $1.51 | $2.24 | $4.17 |
Denver HMP Setting Facility Modifier None Typical Low $2.29 Median $3.24 Typical High $7.94 | Facility | None | $2.29 | $3.24 | $7.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.40 Median $4.37 Typical High $11.75 | Professional | None | $2.40 | $4.37 | $11.75 |
Select Health Setting Facility Modifier None Typical Low $3.02 Median $5.50 Typical High $6.31 | Facility | None | $3.02 | $5.50 | $6.31 |
Select Health Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $3.02 | Professional | None | $2.09 | $2.09 | $3.02 |
United Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Facility | None | $162.18 | $169.82 | $194.98 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.74 Typical High $2.40 | Professional | None | $1.26 | $1.74 | $2.40 |
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 $1.12 Median $1.12 Typical High $1.51 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.45 Typical High $0.60 | Professional | 53 · Discontinued | $0.44 | $0.45 | $0.60 |
Where Colorado sits
The same service costs 28.2 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· 24th of 51
$3.55
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.