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 Professional Modifier None Typical Low $3.16 Median $4.27 Typical High $11.75 | Professional | None | $3.16 | $4.27 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $33.88 Typical High $52.48 | Facility | None | $10.96 | $33.88 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $21.88 | Professional | None | $4.47 | $7.41 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $7.41 Typical High $34.67 | Facility | None | $6.03 | $7.41 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
Denver HMP Setting Facility Modifier None Typical Low $5.89 Median $8.51 Typical High $13.49 | Facility | None | $5.89 | $8.51 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $30.20 | Professional | None | $9.12 | $16.60 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $23.99 | Facility | None | $11.22 | $20.89 | $23.99 |
Select Health Setting Professional Modifier None Typical Low $7.41 Median $7.94 Typical High $11.22 | Professional | None | $7.41 | $7.94 | $11.22 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $7.41 | Professional | None | $2.09 | $2.09 | $7.41 |
3 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 Facility Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $1.86 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $0.74 | $1.70 | $1.70 |
Where Colorado sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 13th of 51
$9.77
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.