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 $3.63 Median $8.13 Typical High $16.60 | Facility | None | $3.63 | $8.13 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.63 Typical High $4.68 | Professional | None | $3.16 | $3.63 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $14.13 Typical High $21.38 | Facility | None | $5.25 | $14.13 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $9.77 | Professional | None | $2.00 | $3.24 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.75 Typical High $14.45 | Facility | None | $2.82 | $5.75 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.39 Typical High $6.92 | Professional | None | $2.51 | $3.39 | $6.92 |
Denver HMP Setting Facility Modifier None Typical Low $3.63 Median $5.13 Typical High $9.55 | Facility | None | $3.63 | $5.13 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $6.92 Typical High $18.20 | Professional | None | $3.80 | $6.92 | $18.20 |
Select Health Setting Facility Modifier None Typical Low $4.68 Median $8.71 Typical High $10.00 | Facility | None | $4.68 | $8.71 | $10.00 |
Select Health Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.68 | Professional | None | $3.31 | $3.31 | $4.68 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.75 Typical High $3.47 | Professional | None | $2.00 | $2.75 | $3.47 |
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 $1.78 Median $1.82 Typical High $2.34 | Professional | 52 · Reduced service | $1.78 | $1.82 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.72 Typical High $0.93 | Professional | 53 · Discontinued | $0.71 | $0.72 | $0.93 |
Where Colorado sits
The same service costs 4.0 times more in Alaska 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· 27th of 51
$4.68
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.