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 $0.30 Median $0.48 Typical High $1.35 | Facility | None | $0.30 | $0.48 | $1.35 |
Aetna Setting Professional Modifier None Typical Low $0.30 Median $0.31 Typical High $0.47 | Professional | None | $0.30 | $0.31 | $0.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.34 Median $0.52 Typical High $0.91 | Facility | None | $0.34 | $0.52 | $0.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Cigna Setting Facility Modifier None Typical Low $0.32 Median $0.36 Typical High $0.66 | Facility | None | $0.32 | $0.36 | $0.66 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Denver HMP Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.44 | Facility | None | $0.31 | $0.31 | $0.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.23 Median $0.34 Typical High $0.62 | Professional | None | $0.23 | $0.34 | $0.62 |
Select Health Setting Facility Modifier None Typical Low $0.31 Median $0.56 Typical High $0.65 | Facility | None | $0.31 | $0.56 | $0.65 |
Select Health Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $0.31 | Professional | None | $0.22 | $0.22 | $0.31 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.32 Typical High $0.36 | Professional | None | $0.32 | $0.32 | $0.36 |
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 $0.16 Median $0.16 Typical High $0.32 | Professional | 52 · Reduced service | $0.16 | $0.16 | $0.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.13 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.13 |
Where Colorado sits
The same service costs 3.3 times more in Texas than in North Dakota. 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· 19th of 51
$0.36
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.