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 $281.84 Median $588.84 Typical High $1,318.26 | Facility | None | $281.84 | $588.84 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | None | $213.80 | $213.80 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $851.14 Typical High $1,288.25 | Facility | None | $302.00 | $851.14 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $630.96 | Professional | None | $117.49 | $117.49 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $338.84 Typical High $891.25 | Facility | None | $165.96 | $338.84 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $407.38 | Professional | None | $125.89 | $144.54 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $354.81 | Facility | None | $213.80 | $257.04 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $724.44 | Professional | None | $281.84 | $398.11 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $588.84 | Facility | None | $281.84 | $524.81 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $426.58 | Professional | None | $199.53 | $281.84 | $426.58 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $208.93 | Professional | None | $117.49 | $117.49 | $208.93 |
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 $107.15 Median $107.15 Typical High $151.36 | Professional | 52 · Reduced service | $107.15 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $42.66 | $60.26 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Oklahoma. 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
$380
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.