How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $120.23 Median $363.08 Typical High $1,202.26 | Facility | None | $120.23 | $363.08 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $912.01 | Professional | None | $169.82 | $169.82 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $977.24 | Professional | None | $436.52 | $660.69 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $323.59 Typical High $398.11 | Professional | None | $141.25 | $323.59 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $288.40 | Facility | None | $162.18 | $169.82 | $288.40 |
Denver HMP Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $363.08 | Professional | None | $173.78 | $263.03 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $363.08 | Facility | None | $173.78 | $323.59 | $363.08 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $338.84 | Professional | None | $173.78 | $173.78 | $338.84 |
United Setting Professional Modifier None Typical Low $331.13 Median $1,202.26 Typical High $2,041.74 | Professional | None | $331.13 | $1,202.26 | $2,041.74 |
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 $83.18 Median $83.18 Typical High $457.09 | Professional | 52 · Reduced service | $83.18 | $83.18 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $181.97 | Professional | 53 · Discontinued | $33.88 | $33.88 | $181.97 |
Where Colorado sits
The same service costs 14.8 times more in North Carolina than in New York. 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· 37th of 51
$617
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.