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 $295.12 Median $616.60 Typical High $1,348.96 | Facility | None | $295.12 | $616.60 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $309.03 | Professional | None | $204.17 | $223.87 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $870.96 Typical High $1,348.96 | Facility | None | $309.03 | $870.96 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $645.65 | Professional | None | $123.03 | $123.03 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $354.81 Typical High $912.01 | Facility | None | $169.82 | $354.81 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $426.58 | Professional | None | $134.90 | $154.88 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $363.08 | Facility | None | $223.87 | $263.03 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $741.31 | Professional | None | $288.40 | $416.87 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $537.03 Typical High $616.60 | Facility | None | $288.40 | $537.03 | $616.60 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $436.52 | Professional | None | $204.17 | $288.40 | $436.52 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | None | $123.03 | $123.03 | $213.80 |
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 $102.33 Median $109.65 Typical High $154.88 | Professional | 52 · Reduced service | $102.33 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $61.66 | Professional | 53 · Discontinued | $40.74 | $44.67 | $61.66 |
Where Colorado sits
The same service costs 3.8 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· 4th of 51
$389
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.