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 $74.13 Median $154.88 Typical High $338.84 | Facility | None | $74.13 | $154.88 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $77.62 | Professional | None | $54.95 | $56.23 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $218.78 Typical High $338.84 | Facility | None | $77.62 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $162.18 | Professional | None | $30.90 | $30.90 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $89.13 Typical High $234.42 | Facility | None | $42.66 | $89.13 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $107.15 | Professional | None | $33.88 | $38.90 | $107.15 |
Denver HMP Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $95.50 | Facility | None | $56.23 | $66.07 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $158.49 | Professional | None | $74.13 | $104.71 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $134.90 Typical High $154.88 | Facility | None | $74.13 | $134.90 | $154.88 |
Select Health Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $109.65 | Professional | None | $51.29 | $74.13 | $109.65 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $53.70 | Professional | None | $30.90 | $31.62 | $53.70 |
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 $27.54 Median $28.18 Typical High $38.90 | Professional | 52 · Reduced service | $27.54 | $28.18 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $15.49 | Professional | 53 · Discontinued | $10.96 | $11.22 | $15.49 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$97.72
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.