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 $0.17 Median $0.34 Typical High $0.72 | Facility | None | $0.17 | $0.34 | $0.72 |
Aetna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.34 | Professional | None | $0.17 | $0.17 | $0.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.20 Median $0.31 Typical High $0.54 | Facility | None | $0.20 | $0.31 | $0.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
Cigna Setting Facility Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Facility | None | $0.18 | $0.18 | $0.18 |
Cigna Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
Denver HMP Setting Facility Modifier None Typical Low $0.17 Median $0.17 Typical High $0.24 | Facility | None | $0.17 | $0.17 | $0.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Select Health Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
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 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.07 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.07 |
Where Colorado sits
The same service costs 8.1 times more in Oklahoma than in Hawaii. 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· 3rd of 51
$0.22
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.