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 $158.49 Median $288.40 Typical High $758.58 | Facility | None | $158.49 | $288.40 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $229.09 | Professional | None | $102.33 | $125.89 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $489.78 Typical High $758.58 | Facility | None | $173.78 | $489.78 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $363.08 | Professional | None | $69.18 | $69.18 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $512.86 | Facility | None | $95.50 | $199.53 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $239.88 | Professional | None | $77.62 | $102.33 | $239.88 |
Denver HMP Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $177.83 | Facility | None | $125.89 | $141.25 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $416.87 | Professional | None | $162.18 | $234.42 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $346.74 | Facility | None | $162.18 | $302.00 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $245.47 | Professional | None | $114.82 | $162.18 | $245.47 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $120.23 | Professional | None | $69.18 | $93.33 | $120.23 |
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 $61.66 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $25.12 | $34.67 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 9th 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.