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 $4.47 Median $10.23 Typical High $20.42 | Facility | None | $4.47 | $10.23 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.47 Typical High $8.13 | Professional | None | $3.89 | $4.47 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $17.78 Typical High $26.92 | Facility | None | $6.17 | $17.78 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $5.89 Typical High $12.02 | Professional | None | $3.55 | $5.89 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.08 Typical High $17.78 | Facility | None | $3.47 | $7.08 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $8.32 | Professional | None | $3.02 | $4.27 | $8.32 |
Denver HMP Setting Facility Modifier None Typical Low $4.47 Median $6.46 Typical High $11.75 | Facility | None | $4.47 | $6.46 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $8.51 Typical High $22.91 | Professional | None | $4.68 | $8.51 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $5.89 Median $10.96 Typical High $12.30 | Facility | None | $5.89 | $10.96 | $12.30 |
Select Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.89 | Professional | None | $4.07 | $4.07 | $5.89 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $4.37 | Professional | None | $2.45 | $3.47 | $4.37 |
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 $2.19 Median $2.24 Typical High $2.95 | Professional | 52 · Reduced service | $2.19 | $2.24 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.89 Typical High $1.20 | Professional | 53 · Discontinued | $0.87 | $0.89 | $1.20 |
Where Colorado sits
The same service costs 3.3 times more in South Carolina 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· 25th of 51
$6.31
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.