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 $138.04 Median $288.40 Typical High $630.96 | Facility | None | $138.04 | $288.40 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $144.54 | Professional | None | $102.33 | $104.71 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $407.38 Typical High $630.96 | Facility | None | $144.54 | $407.38 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $302.00 | Professional | None | $57.54 | $57.54 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $165.96 Typical High $436.52 | Facility | None | $79.43 | $165.96 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $199.53 | Professional | None | $61.66 | $70.79 | $199.53 |
Denver HMP Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $169.82 | Facility | None | $104.71 | $123.03 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $346.74 | Professional | None | $138.04 | $194.98 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $251.19 Typical High $288.40 | Facility | None | $138.04 | $251.19 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $204.17 | Professional | None | $95.50 | $138.04 | $204.17 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | None | $57.54 | $57.54 | $102.33 |
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 $51.29 Median $52.48 Typical High $72.44 | Professional | 52 · Reduced service | $51.29 | $52.48 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $28.84 | Professional | 53 · Discontinued | $20.42 | $20.89 | $28.84 |
Where Colorado sits
The same service costs 5.5 times more in Texas 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· 5th of 51
$182
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.