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 $0.60 Median $1.05 Typical High $2.63 | Facility | None | $0.60 | $1.05 | $2.63 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $1.23 | Professional | None | $0.60 | $0.60 | $1.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.65 Median $1.00 Typical High $1.91 | Facility | None | $0.65 | $1.00 | $1.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Cigna Setting Facility Modifier None Typical Low $0.71 Median $0.83 Typical High $1.41 | Facility | None | $0.71 | $0.83 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Denver HMP Setting Facility Modifier None Typical Low $0.60 Median $0.79 Typical High $3.89 | Facility | None | $0.60 | $0.79 | $3.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.45 Median $0.66 Typical High $0.98 | Professional | None | $0.45 | $0.66 | $0.98 |
Select Health Setting Facility Modifier None Typical Low $0.60 Median $1.12 Typical High $1.26 | Facility | None | $0.60 | $1.12 | $1.26 |
Select Health Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.60 | Professional | None | $0.42 | $0.42 | $0.60 |
United Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.69 | Professional | None | $0.62 | $0.62 | $0.69 |
2 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 $0.30 Median $0.30 Typical High $0.62 | Professional | 52 · Reduced service | $0.30 | $0.30 | $0.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.25 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.25 |
Where Colorado sits
The same service costs 3.4 times more in Wyoming than in Delaware. 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· 7th of 51
$0.79
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.