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 $4.90 Median $10.23 Typical High $22.39 | Facility | None | $4.90 | $10.23 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.72 Typical High $4.79 | Professional | None | $3.24 | $3.72 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $14.45 Typical High $22.39 | Facility | None | $5.50 | $14.45 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.31 Typical High $10.00 | Professional | None | $2.04 | $3.31 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.89 Typical High $14.79 | Facility | None | $2.82 | $5.89 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $7.08 | Professional | None | $2.29 | $2.82 | $7.08 |
Denver HMP Setting Facility Modifier None Typical Low $3.72 Median $4.79 Typical High $7.76 | Facility | None | $3.72 | $4.79 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.89 Median $7.08 Typical High $19.05 | Professional | None | $3.89 | $7.08 | $19.05 |
Select Health Setting Facility Modifier None Typical Low $4.79 Median $8.91 Typical High $10.23 | Facility | None | $4.79 | $8.91 | $10.23 |
Select Health Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.79 | Professional | None | $3.39 | $3.39 | $4.79 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.14 Typical High $3.89 | Professional | None | $2.04 | $2.14 | $3.89 |
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 $1.82 Median $1.86 Typical High $2.45 | Professional | 52 · Reduced service | $1.82 | $1.86 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.74 Typical High $0.98 | Professional | 53 · Discontinued | $0.72 | $0.74 | $0.98 |
Where Colorado sits
The same service costs 8.3 times more in Kansas than in Kentucky. 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· 22nd of 51
$4.79
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.