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 $6.17 Median $14.13 Typical High $28.18 | Facility | None | $6.17 | $14.13 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $11.22 | Professional | None | $5.13 | $6.17 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $23.99 Typical High $37.15 | Facility | None | $9.12 | $23.99 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $16.60 | Professional | None | $4.90 | $6.17 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $9.77 Typical High $24.55 | Facility | None | $4.68 | $9.77 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $11.75 | Professional | None | $4.17 | $6.03 | $11.75 |
Denver HMP Setting Facility Modifier None Typical Low $6.17 Median $8.71 Typical High $16.22 | Facility | None | $6.17 | $8.71 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $11.75 Typical High $31.62 | Professional | None | $6.46 | $11.75 | $31.62 |
Select Health Setting Facility Modifier None Typical Low $8.13 Median $14.79 Typical High $16.98 | Facility | None | $8.13 | $14.79 | $16.98 |
Select Health Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.13 | Professional | None | $5.62 | $5.62 | $8.13 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $6.03 | Professional | None | $3.39 | $4.79 | $6.03 |
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 $3.02 Median $3.09 Typical High $4.07 | Professional | 52 · Reduced service | $3.02 | $3.09 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.62 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.62 |
Where Colorado sits
The same service costs 5.6 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· 25th of 51
$8.32
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.