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 $5.13 Median $11.48 Typical High $23.44 | Facility | None | $5.13 | $11.48 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $9.33 | Professional | None | $4.17 | $5.13 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $19.95 Typical High $30.90 | Facility | None | $7.59 | $19.95 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.61 Typical High $13.80 | Professional | None | $4.07 | $6.61 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.13 Typical High $20.42 | Facility | None | $3.89 | $8.13 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $9.77 | Professional | None | $3.55 | $5.01 | $9.77 |
Denver HMP Setting Facility Modifier None Typical Low $5.13 Median $7.24 Typical High $13.49 | Facility | None | $5.13 | $7.24 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $9.77 Typical High $26.30 | Professional | None | $5.37 | $9.77 | $26.30 |
Select Health Setting Facility Modifier None Typical Low $6.61 Median $12.30 Typical High $14.13 | Facility | None | $6.61 | $12.30 | $14.13 |
Select Health Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $6.61 | Professional | None | $4.68 | $4.68 | $6.61 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.89 Typical High $4.90 | Professional | None | $2.82 | $3.89 | $4.90 |
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 $2.51 Median $2.51 Typical High $3.39 | Professional | 52 · Reduced service | $2.51 | $2.51 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.02 Typical High $1.35 | Professional | 53 · Discontinued | $1.00 | $1.02 | $1.35 |
Where Colorado sits
The same service costs 11.0 times more in Vermont than in Kentucky. 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
$7.24
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.