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 $42.66 Median $120.23 Typical High $309.03 | Facility | None | $42.66 | $120.23 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $870.96 | Professional | None | $42.66 | $42.66 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $436.52 | Professional | 52 · Reduced service | $21.38 | $21.38 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $977.24 | Professional | None | $426.58 | $630.96 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $100.00 Typical High $165.96 | Professional | None | $36.31 | $100.00 | $165.96 |
Denver HMP Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $70.79 | Facility | None | $41.69 | $42.66 | $70.79 |
Denver HMP Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $95.50 | Professional | None | $42.66 | $64.57 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $91.20 | Facility | None | $42.66 | $79.43 | $91.20 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $83.18 | Professional | None | $42.66 | $42.66 | $83.18 |
United Setting Professional Modifier None Typical Low $85.11 Median $1,202.26 Typical High $2,041.74 | Professional | None | $85.11 | $1,202.26 | $2,041.74 |
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 $26.30 Median $131.83 Typical High $229.09 | Professional | 53 · Discontinued | $26.30 | $131.83 | $229.09 |
Where Colorado sits
The same service costs 120.2 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· 32nd of 51
$603
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.