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 $1.35 Median $1.86 Typical High $5.01 | Facility | None | $1.35 | $1.86 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.45 Typical High $2.09 | Professional | None | $1.35 | $1.45 | $2.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.51 Median $2.29 Typical High $4.07 | Facility | None | $1.51 | $2.29 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Cigna Setting Facility Modifier None Typical Low $1.38 Median $1.51 Typical High $1.91 | Facility | None | $1.38 | $1.51 | $1.91 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Denver HMP Setting Facility Modifier None Typical Low $0.56 Median $1.35 Typical High $1.95 | Facility | None | $0.56 | $1.35 | $1.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.00 Median $1.48 Typical High $2.19 | Professional | None | $1.00 | $1.48 | $2.19 |
Select Health Setting Facility Modifier None Typical Low $1.35 Median $2.51 Typical High $2.82 | Facility | None | $1.35 | $2.51 | $2.82 |
Select Health Setting Professional Modifier None Typical Low $0.95 Median $0.95 Typical High $1.35 | Professional | None | $0.95 | $0.95 | $1.35 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
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 53 · Discontinued Typical Low $0.27 Median $0.27 Typical High $0.54 | Professional | 53 · Discontinued | $0.27 | $0.27 | $0.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.41 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.41 |
Where Colorado sits
The same service costs 3.2 times more in Wyoming than in Maine. 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· 6th of 51
$1.66
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.