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 $0.85 Median $2.04 Typical High $4.27 | Facility | None | $0.85 | $2.04 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $2.04 | Professional | None | $0.85 | $0.85 | $2.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.95 Median $1.48 Typical High $2.57 | Facility | None | $0.95 | $1.48 | $2.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $0.74 Median $0.98 Typical High $1.12 | Facility | None | $0.74 | $0.98 | $1.12 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Denver HMP Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $1.23 | Facility | None | $0.85 | $0.85 | $1.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.65 Median $0.95 Typical High $1.41 | Professional | None | $0.65 | $0.95 | $1.41 |
Select Health Setting Facility Modifier None Typical Low $0.85 Median $1.58 Typical High $1.82 | Facility | None | $0.85 | $1.58 | $1.82 |
Select Health Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.85 | Professional | None | $0.60 | $0.60 | $0.85 |
United Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | None | $0.85 | $0.85 | $0.85 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
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 $0.43 Median $0.43 Typical High $1.00 | Professional | 52 · Reduced service | $0.43 | $0.43 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.40 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.30 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.30 |
Where Colorado sits
The same service costs 4.1 times more in Oklahoma than in North Dakota. 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· 10th of 51
$1.07
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.