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 $15.49 Median $35.48 Typical High $93.33 | Facility | None | $15.49 | $35.48 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $38.02 | Professional | None | $15.14 | $18.20 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $60.26 Typical High $93.33 | Facility | None | $22.91 | $60.26 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $63.10 | Professional | None | $20.42 | $24.55 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $24.55 Typical High $64.57 | Facility | None | $11.75 | $24.55 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $41.69 | Professional | None | $10.47 | $15.85 | $41.69 |
Denver HMP Setting Facility Modifier None Typical Low $15.49 Median $20.42 Typical High $40.74 | Facility | None | $15.49 | $20.42 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $79.43 | Professional | None | $21.38 | $28.84 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $37.15 Typical High $42.66 | Facility | None | $20.42 | $37.15 | $42.66 |
Select Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $30.20 | Professional | None | $20.42 | $20.42 | $30.20 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $45.71 | Professional | None | $12.02 | $17.78 | $45.71 |
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 $7.76 Median $7.76 Typical High $17.38 | Professional | 52 · Reduced service | $7.76 | $7.76 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $6.92 | Professional | 53 · Discontinued | $3.09 | $3.09 | $6.92 |
Where Colorado sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 6th of 51
$41.69
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.