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 $10.47 Median $21.88 Typical High $47.86 | Facility | None | $10.47 | $21.88 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.94 Typical High $10.47 | Professional | None | $7.76 | $7.94 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $30.90 Typical High $47.86 | Facility | None | $11.75 | $30.90 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.08 Typical High $21.38 | Professional | None | $6.17 | $7.08 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.59 Typical High $31.62 | Facility | None | $6.03 | $12.59 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $15.14 | Professional | None | $5.01 | $7.59 | $15.14 |
Denver HMP Setting Facility Modifier None Typical Low $7.94 Median $11.22 Typical High $19.95 | Facility | None | $7.94 | $11.22 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $40.74 | Professional | None | $8.32 | $15.14 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $10.47 Median $19.05 Typical High $21.88 | Facility | None | $10.47 | $19.05 | $21.88 |
Select Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $10.47 | Professional | None | $7.24 | $7.24 | $10.47 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $7.76 | Professional | None | $4.37 | $5.75 | $7.76 |
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 $3.80 Median $3.98 Typical High $5.25 | Professional | 52 · Reduced service | $3.80 | $3.98 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.58 Typical High $2.09 | Professional | 53 · Discontinued | $1.55 | $1.58 | $2.09 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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
$11.22
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.