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 $1.62 Median $2.57 Typical High $7.94 | Facility | None | $1.62 | $2.57 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $1.70 Typical High $2.57 | Professional | None | $1.66 | $1.70 | $2.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.86 Median $2.82 Typical High $4.90 | Facility | None | $1.86 | $2.82 | $4.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | None | $1.66 | $1.66 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $1.86 Typical High $2.34 | Facility | None | $1.70 | $1.86 | $2.34 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | None | $1.66 | $1.66 | $1.66 |
Denver HMP Setting Facility Modifier None Typical Low $1.45 Median $1.66 Typical High $2.34 | Facility | None | $1.45 | $1.66 | $2.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.23 Median $1.82 Typical High $2.69 | Professional | None | $1.23 | $1.82 | $2.69 |
Select Health Setting Facility Modifier None Typical Low $1.66 Median $3.02 Typical High $3.47 | Facility | None | $1.66 | $3.02 | $3.47 |
Select Health Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.66 | Professional | None | $1.15 | $1.15 | $1.66 |
United Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
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 $0.83 Median $0.83 Typical High $1.86 | Professional | 52 · Reduced service | $0.83 | $0.83 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.33 Typical High $0.76 | Professional | 53 · Discontinued | $0.33 | $0.33 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.56 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.56 |
Where Colorado sits
The same service costs 3.2 times more in Texas than in Georgia. 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
$2.04
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.