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 $245.47 Median $512.86 Typical High $1,122.02 | Facility | None | $245.47 | $512.86 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $295.12 | Professional | None | $181.97 | $181.97 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $724.44 Typical High $1,096.48 | Facility | None | $257.04 | $724.44 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $537.03 | Professional | None | $102.33 | $102.33 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $758.58 | Facility | None | $141.25 | $295.12 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $371.54 | Professional | None | $125.89 | $165.96 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $426.58 | Facility | None | $181.97 | $234.42 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $616.60 | Professional | None | $239.88 | $346.74 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $512.86 | Facility | None | $239.88 | $446.68 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $363.08 | Professional | None | $169.82 | $239.88 | $363.08 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $177.83 | Professional | None | $102.33 | $138.04 | $177.83 |
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 $91.20 Median $91.20 Typical High $147.91 | Professional | 52 · Reduced service | $91.20 | $91.20 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $58.88 | Professional | 53 · Discontinued | $36.31 | $37.15 | $58.88 |
Where Colorado sits
The same service costs 4.3 times more in Texas than in Delaware. 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
$324
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.