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 $380.19 Median $794.33 Typical High $1,737.80 | Facility | None | $380.19 | $794.33 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $398.11 | Professional | None | $281.84 | $288.40 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $1,122.02 Typical High $1,737.80 | Facility | None | $398.11 | $1,122.02 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $831.76 | Professional | None | $158.49 | $158.49 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $457.09 Typical High $1,174.90 | Facility | None | $218.78 | $457.09 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $549.54 | Professional | None | $169.82 | $194.98 | $549.54 |
Denver HMP Setting Facility Modifier None Typical Low $288.40 Median $338.84 Typical High $467.74 | Facility | None | $288.40 | $338.84 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $794.33 | Professional | None | $371.54 | $537.03 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $794.33 | Facility | None | $371.54 | $691.83 | $794.33 |
Select Health Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $562.34 | Professional | None | $263.03 | $371.54 | $562.34 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | None | $158.49 | $158.49 | $275.42 |
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 $141.25 Median $141.25 Typical High $199.53 | Professional | 52 · Reduced service | $141.25 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $79.43 | Professional | 53 · Discontinued | $56.23 | $57.54 | $79.43 |
Where Colorado sits
The same service costs 6.5 times more in Texas 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· 6th of 51
$501
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.