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 $436.52 Median $933.25 Typical High $2,041.74 | Facility | None | $436.52 | $933.25 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $467.74 | Professional | None | $309.03 | $331.13 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $1,318.26 Typical High $1,995.26 | Facility | None | $467.74 | $1,318.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $977.24 | Professional | None | $186.21 | $186.21 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $1,380.38 | Facility | None | $257.04 | $537.03 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $630.96 | Professional | None | $204.17 | $229.09 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $478.63 | Facility | None | $331.13 | $331.13 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $933.25 | Professional | None | $436.52 | $630.96 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $812.83 Typical High $933.25 | Facility | None | $436.52 | $812.83 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $660.69 | Professional | None | $309.03 | $436.52 | $660.69 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $74.13 Median $186.21 Typical High $263.03 | Professional | None | $74.13 | $186.21 | $263.03 |
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 $154.88 Median $165.96 Typical High $234.42 | Professional | 52 · Reduced service | $154.88 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $93.33 | Professional | 53 · Discontinued | $61.66 | $67.61 | $93.33 |
Where Colorado sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 6th of 51
$589
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.