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 $10.00 Median $22.91 Typical High $60.26 | Facility | None | $10.00 | $22.91 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $17.38 | Professional | None | $9.12 | $10.00 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $38.90 Typical High $60.26 | Facility | None | $14.79 | $38.90 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $28.84 | Professional | None | $13.18 | $13.18 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $15.85 Typical High $40.74 | Facility | None | $7.59 | $15.85 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $19.05 | Professional | None | $6.03 | $7.24 | $19.05 |
Denver HMP Setting Facility Modifier None Typical Low $10.00 Median $12.88 Typical High $26.30 | Facility | None | $10.00 | $12.88 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $33.11 | Professional | None | $13.18 | $18.62 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $27.54 | Facility | None | $13.18 | $23.99 | $27.54 |
Select Health Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $19.50 | Professional | None | $9.12 | $13.18 | $19.50 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $24.55 | Professional | None | $7.76 | $8.51 | $24.55 |
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 $5.01 Typical High $8.71 | Professional | 52 · Reduced service | $4.57 | $5.01 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.00 Typical High $3.47 | Professional | 53 · Discontinued | $1.82 | $2.00 | $3.47 |
Where Colorado sits
The same service costs 3.2 times more in Alaska 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· 9th of 51
$18.20
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.