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 $147.91 Median $309.03 Typical High $691.83 | Facility | None | $147.91 | $309.03 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $151.36 | Professional | None | $104.71 | $112.20 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $446.68 Typical High $676.08 | Facility | None | $158.49 | $446.68 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $309.03 | Professional | None | $61.66 | $102.33 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $177.83 Typical High $457.09 | Facility | None | $87.10 | $177.83 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $213.80 | Professional | None | $75.86 | $100.00 | $213.80 |
Denver HMP Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $295.12 | Facility | None | $112.20 | $162.18 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $575.44 | Professional | None | $117.49 | $213.80 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $309.03 | Facility | None | $147.91 | $275.42 | $309.03 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $147.91 | Professional | None | $104.71 | $104.71 | $147.91 |
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $109.65 | Professional | None | $61.66 | $87.10 | $109.65 |
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 $56.23 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $56.23 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $22.39 | $22.39 | $30.20 |
Where Colorado sits
The same service costs 5.8 times more in Kansas 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· 21st of 51
$162
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.