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 $208.93 Median $436.52 Typical High $977.24 | Facility | None | $208.93 | $436.52 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $208.93 | Professional | None | $151.36 | $158.49 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $630.96 Typical High $954.99 | Facility | None | $218.78 | $630.96 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $426.58 | Professional | None | $87.10 | $144.54 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $645.65 | Facility | None | $123.03 | $251.19 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $302.00 | Professional | None | $83.18 | $120.23 | $302.00 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $269.15 | Facility | None | $158.49 | $208.93 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $436.52 | Professional | None | $165.96 | $302.00 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $436.52 | Facility | None | $208.93 | $389.05 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | None | $147.91 | $147.91 | $208.93 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $154.88 | Professional | None | $77.62 | $87.10 | $154.88 |
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 $75.86 Median $79.43 Typical High $104.71 | Professional | 52 · Reduced service | $75.86 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $30.20 | $31.62 | $41.69 |
Where Colorado sits
The same service costs 6.0 times more in Alaska than in Alabama. 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· 17th of 51
$219
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.