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 $95.50 Median $263.03 Typical High $575.44 | Facility | None | $95.50 | $263.03 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $173.78 | Professional | None | $93.33 | $95.50 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $371.54 Typical High $575.44 | Facility | None | $131.83 | $371.54 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $275.42 | Professional | None | $52.48 | $52.48 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $398.11 | Facility | None | $72.44 | $151.36 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $181.97 | Professional | None | $56.23 | $64.57 | $181.97 |
Denver HMP Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $162.18 | Facility | None | $95.50 | $112.20 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $316.23 | Professional | None | $125.89 | $177.83 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $263.03 | Facility | None | $125.89 | $229.09 | $263.03 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $186.21 | Professional | None | $87.10 | $125.89 | $186.21 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $93.33 | Professional | None | $52.48 | $52.48 | $93.33 |
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 $46.77 Median $47.86 Typical High $66.07 | Professional | 52 · Reduced service | $46.77 | $47.86 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $26.30 | Professional | 53 · Discontinued | $18.62 | $19.05 | $26.30 |
Where Colorado sits
The same service costs 4.5 times more in Alaska 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· 8th of 51
$162
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.