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 $0.39 Median $0.71 Typical High $2.04 | Facility | None | $0.39 | $0.71 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $0.39 Median $0.41 Typical High $0.58 | Professional | None | $0.39 | $0.41 | $0.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.44 Median $0.68 Typical High $1.17 | Facility | None | $0.44 | $0.68 | $1.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | None | $0.39 | $0.39 | $0.39 |
Cigna Setting Facility Modifier None Typical Low $0.40 Median $0.44 Typical High $0.74 | Facility | None | $0.40 | $0.44 | $0.74 |
Cigna Setting Professional Modifier None Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | None | $0.39 | $0.39 | $0.39 |
Denver HMP Setting Facility Modifier None Typical Low $0.39 Median $0.43 Typical High $0.56 | Facility | None | $0.39 | $0.43 | $0.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.30 Median $0.43 Typical High $0.79 | Professional | None | $0.30 | $0.43 | $0.79 |
Select Health Setting Facility Modifier None Typical Low $0.39 Median $0.72 Typical High $0.81 | Facility | None | $0.39 | $0.72 | $0.81 |
Select Health Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.39 | Professional | None | $0.27 | $0.27 | $0.39 |
United Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
1 more rate 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 $0.20 Median $0.20 Typical High $0.48 | Professional | 52 · Reduced service | $0.20 | $0.20 | $0.48 |
Where Colorado sits
The same service costs 5.2 times more in Wyoming than in Georgia. 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· 15th of 51
$0.48
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.