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 $6.61 Median $15.14 Typical High $30.20 | Facility | None | $6.61 | $15.14 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $12.02 | Professional | None | $6.03 | $7.08 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $25.70 Typical High $39.81 | Facility | None | $9.77 | $25.70 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $17.78 | Professional | None | $5.25 | $6.61 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.47 Typical High $26.30 | Facility | None | $5.01 | $10.47 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $6.46 Typical High $12.30 | Professional | None | $4.57 | $6.46 | $12.30 |
Denver HMP Setting Facility Modifier None Typical Low $6.61 Median $9.33 Typical High $17.38 | Facility | None | $6.61 | $9.33 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $22.39 | Professional | None | $6.92 | $12.30 | $22.39 |
Select Health Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $18.20 | Facility | None | $8.71 | $15.85 | $18.20 |
Select Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $8.71 | Professional | None | $6.03 | $6.03 | $8.71 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $6.46 | Professional | None | $3.63 | $5.13 | $6.46 |
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 $3.24 Median $3.31 Typical High $4.37 | Professional | 52 · Reduced service | $3.24 | $3.31 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.32 Typical High $1.74 | Professional | 53 · Discontinued | $1.29 | $1.32 | $1.74 |
Where Colorado sits
The same service costs 13.2 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· 27th of 51
$9.33
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.