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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $112.20 | Professional | None | $79.43 | $100.00 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $229.09 | Professional | None | $114.82 | $158.49 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $67.61 Typical High $389.05 | Professional | None | $27.54 | $67.61 | $389.05 |
Denver HMP Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $144.54 | Facility | None | $91.20 | $100.00 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $144.54 | Professional | None | $81.28 | $104.71 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $138.04 Typical High $158.49 | Facility | None | $75.86 | $138.04 | $158.49 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $138.04 | Professional | None | $75.86 | $75.86 | $138.04 |
United Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $169.82 | Professional | None | $74.13 | $100.00 | $169.82 |
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 $39.81 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $19.95 | $22.39 |
Where Colorado sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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· 14th of 51
$132
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.