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 $0.79 Median $1.20 Typical High $1.95 | Facility | None | $0.79 | $1.20 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.83 Typical High $1.26 | Professional | None | $0.79 | $0.83 | $1.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.89 Median $1.38 Typical High $2.40 | Facility | None | $0.89 | $1.38 | $2.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $0.81 Median $0.89 Typical High $1.12 | Facility | None | $0.81 | $0.89 | $1.12 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Denver HMP Setting Facility Modifier None Typical Low $0.79 Median $0.93 Typical High $1.91 | Facility | None | $0.79 | $0.93 | $1.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.60 Median $0.87 Typical High $1.32 | Professional | None | $0.60 | $0.87 | $1.32 |
Select Health Setting Facility Modifier None Typical Low $0.79 Median $1.48 Typical High $1.70 | Facility | None | $0.79 | $1.48 | $1.70 |
Select Health Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.79 | Professional | None | $0.56 | $0.56 | $0.79 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
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 Professional Modifier 52 · Reduced service Typical Low $0.40 Median $0.40 Typical High $0.85 | Professional | 52 · Reduced service | $0.40 | $0.40 | $0.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.34 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.26 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.26 |
Where Colorado sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 11th of 51
$1.00
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.