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 $7.24 Median $16.60 Typical High $33.11 | Facility | None | $7.24 | $16.60 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $14.13 | Professional | None | $6.61 | $8.51 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $28.18 Typical High $43.65 | Facility | None | $10.72 | $28.18 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $19.50 | Professional | None | $5.75 | $9.55 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $11.48 Typical High $28.84 | Facility | None | $5.50 | $11.48 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $13.49 | Professional | None | $4.90 | $6.92 | $13.49 |
Denver HMP Setting Facility Modifier None Typical Low $7.24 Median $10.23 Typical High $19.05 | Facility | None | $7.24 | $10.23 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $13.80 Typical High $37.15 | Professional | None | $7.59 | $13.80 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $9.55 Median $17.38 Typical High $19.95 | Facility | None | $9.55 | $17.38 | $19.95 |
Select Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $9.55 | Professional | None | $6.61 | $6.61 | $9.55 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $7.59 | Professional | None | $3.98 | $5.50 | $7.59 |
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 $3.55 Median $3.63 Typical High $4.79 | Professional | 52 · Reduced service | $3.55 | $3.63 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.45 Typical High $1.91 | Professional | 53 · Discontinued | $1.41 | $1.45 | $1.91 |
Where Colorado sits
The same service costs 15.8 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· 18th of 51
$10.96
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.