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 $83.18 Median $173.78 Typical High $380.19 | Facility | None | $83.18 | $173.78 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $107.15 | Professional | None | $61.66 | $63.10 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $380.19 | Facility | None | $87.10 | $251.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $181.97 | Professional | None | $34.67 | $34.67 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $100.00 Typical High $263.03 | Facility | None | $48.98 | $100.00 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $120.23 | Professional | None | $38.90 | $44.67 | $120.23 |
Denver HMP Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $102.33 | Facility | None | $63.10 | $74.13 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $213.80 | Professional | None | $83.18 | $117.49 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $173.78 | Facility | None | $83.18 | $154.88 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $125.89 | Professional | None | $57.54 | $83.18 | $125.89 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $61.66 | Professional | None | $34.67 | $34.67 | $61.66 |
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 $30.90 Median $31.62 Typical High $53.70 | Professional | 52 · Reduced service | $30.90 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $12.59 | $21.38 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$110
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.