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 $12.30 Median $25.70 Typical High $56.23 | Facility | None | $12.30 | $25.70 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $16.98 | Professional | None | $9.12 | $9.33 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $37.15 Typical High $56.23 | Facility | None | $13.80 | $37.15 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $25.12 | Professional | None | $7.41 | $12.30 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $14.79 Typical High $37.15 | Facility | None | $7.08 | $14.79 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $17.38 | Professional | None | $6.17 | $8.91 | $17.38 |
Denver HMP Setting Facility Modifier None Typical Low $9.33 Median $13.18 Typical High $24.55 | Facility | None | $9.33 | $13.18 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $47.86 | Professional | None | $9.77 | $17.78 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $12.30 Median $22.91 Typical High $25.70 | Facility | None | $12.30 | $22.91 | $25.70 |
Select Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $12.30 | Professional | None | $8.51 | $8.51 | $12.30 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $9.77 | Professional | None | $5.13 | $7.08 | $9.77 |
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 $4.57 Median $4.68 Typical High $6.17 | Professional | 52 · Reduced service | $4.57 | $4.68 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.86 Typical High $2.45 | Professional | 53 · Discontinued | $1.82 | $1.86 | $2.45 |
Where Colorado sits
The same service costs 4.1 times more in Kansas 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· 21st of 51
$12.88
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.