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 $128.82 Median $269.15 Typical High $602.56 | Facility | None | $128.82 | $269.15 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $128.82 | Professional | None | $91.20 | $97.72 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $389.05 Typical High $588.84 | Facility | None | $138.04 | $389.05 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $269.15 | Professional | None | $53.70 | $89.13 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $398.11 | Facility | None | $75.86 | $154.88 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $186.21 | Professional | None | $48.98 | $72.44 | $186.21 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $158.49 | Facility | None | $97.72 | $128.82 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $186.21 Typical High $467.74 | Professional | None | $102.33 | $186.21 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $269.15 | Facility | None | $128.82 | $239.88 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $128.82 | Professional | None | $91.20 | $91.20 | $128.82 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $95.50 | Professional | None | $45.71 | $53.70 | $95.50 |
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 $45.71 Median $48.98 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $19.50 | $25.70 |
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· 18th of 51
$129
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.