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 $13.80 Median $28.84 Typical High $63.10 | Facility | None | $13.80 | $28.84 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $13.49 | Professional | None | $10.00 | $10.23 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $40.74 Typical High $61.66 | Facility | None | $14.45 | $40.74 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $28.18 | Professional | None | $8.32 | $13.49 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $16.60 Typical High $41.69 | Facility | None | $7.94 | $16.60 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $19.50 | Professional | None | $6.46 | $9.33 | $19.50 |
Denver HMP Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $24.55 | Facility | None | $10.23 | $14.79 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $52.48 | Professional | None | $10.96 | $19.95 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $28.84 | Facility | None | $13.49 | $25.12 | $28.84 |
Select Health Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $13.49 | Professional | None | $9.55 | $9.55 | $13.49 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $10.00 | Professional | None | $5.75 | $7.08 | $10.00 |
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 $5.01 Median $5.13 Typical High $6.76 | Professional | 52 · Reduced service | $5.01 | $5.13 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $2.69 | Professional | 53 · Discontinued | $2.00 | $2.04 | $2.69 |
Where Colorado sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 20th of 51
$14.45
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.