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 $3.24 Median $8.13 Typical High $19.95 | Facility | None | $3.24 | $8.13 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.17 Typical High $6.46 | Professional | None | $3.24 | $4.17 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $12.88 Typical High $19.50 | Facility | None | $4.79 | $12.88 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.95 Typical High $8.71 | Professional | None | $2.57 | $2.95 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $5.13 Typical High $13.18 | Facility | None | $2.51 | $5.13 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $6.17 | Professional | None | $2.19 | $3.24 | $6.17 |
Denver HMP Setting Facility Modifier None Typical Low $3.24 Median $4.68 Typical High $8.51 | Facility | None | $3.24 | $4.68 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.39 Median $6.17 Typical High $16.60 | Professional | None | $3.39 | $6.17 | $16.60 |
Select Health Setting Facility Modifier None Typical Low $4.27 Median $7.94 Typical High $8.91 | Facility | None | $4.27 | $7.94 | $8.91 |
Select Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $4.27 | Professional | None | $3.02 | $3.02 | $4.27 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.47 Typical High $4.27 | Professional | None | $2.57 | $3.47 | $4.27 |
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 $1.58 Median $1.62 Typical High $2.14 | Professional | 52 · Reduced service | $1.58 | $1.62 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.85 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.85 |
Where Colorado sits
The same service costs 3.2 times more in Kansas 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· 28th of 51
$4.47
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.