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 $69.18 Median $158.49 Typical High $426.58 | Facility | None | $69.18 | $158.49 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $128.82 | Professional | None | $61.66 | $69.18 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $416.87 | Facility | None | $97.72 | $275.42 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $204.17 | Professional | None | $38.90 | $38.90 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $109.65 Typical High $288.40 | Facility | None | $53.70 | $109.65 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $131.83 | Professional | None | $43.65 | $56.23 | $131.83 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $89.13 Typical High $154.88 | Facility | None | $69.18 | $89.13 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $234.42 | Professional | None | $91.20 | $128.82 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $190.55 | Facility | None | $91.20 | $169.82 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $138.04 | Professional | None | $64.57 | $91.20 | $138.04 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $67.61 | Professional | None | $38.90 | $52.48 | $67.61 |
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 $34.67 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | 53 · Discontinued | $13.80 | $13.80 | $19.50 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 7th of 51
$123
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.