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 $165.96 Median $346.74 Typical High $758.58 | Facility | None | $165.96 | $346.74 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $173.78 | Professional | None | $114.82 | $125.89 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $501.19 Typical High $758.58 | Facility | None | $173.78 | $501.19 | $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 $97.72 Median $199.53 Typical High $524.81 | Facility | None | $97.72 | $199.53 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $239.88 | Professional | None | $77.62 | $87.10 | $239.88 |
Denver HMP Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $177.83 | Facility | None | $125.89 | $144.54 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $380.19 | Professional | None | $165.96 | $234.42 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $346.74 | Facility | None | $165.96 | $309.03 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $245.47 | Professional | None | $114.82 | $165.96 | $245.47 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $123.03 | Professional | None | $69.18 | $69.18 | $123.03 |
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 $57.54 Median $63.10 Typical High $87.10 | Professional | 52 · Reduced service | $57.54 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $35.48 | Professional | 53 · Discontinued | $22.91 | $25.12 | $35.48 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 5th 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.