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 $0.55 Median $0.83 Typical High $1.78 | Facility | None | $0.55 | $0.83 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.83 | Professional | None | $0.55 | $0.55 | $0.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.62 Median $0.93 Typical High $1.62 | Facility | None | $0.62 | $0.93 | $1.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Cigna Setting Facility Modifier None Typical Low $0.51 Median $0.62 Typical High $0.72 | Facility | None | $0.51 | $0.62 | $0.72 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Denver HMP Setting Facility Modifier None Typical Low $0.44 Median $0.60 Typical High $0.95 | Facility | None | $0.44 | $0.60 | $0.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.41 Median $0.60 Typical High $1.10 | Professional | None | $0.41 | $0.60 | $1.10 |
Select Health Setting Facility Modifier None Typical Low $0.55 Median $1.02 Typical High $1.15 | Facility | None | $0.55 | $1.02 | $1.15 |
Select Health Setting Professional Modifier None Typical Low $0.39 Median $0.39 Typical High $0.55 | Professional | None | $0.39 | $0.39 | $0.55 |
United Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
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 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.13 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.13 |
Where Colorado sits
The same service costs 2.1 times more in Arizona than in Maryland. 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· 5th of 51
$0.66
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.