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 $275.42 Median $575.44 Typical High $1,258.93 | Facility | None | $275.42 | $575.44 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $288.40 | Professional | None | $204.17 | $208.93 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $831.76 Typical High $1,258.93 | Facility | None | $288.40 | $831.76 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $602.56 | Professional | None | $114.82 | $114.82 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $870.96 | Facility | None | $162.18 | $331.13 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $398.11 | Professional | None | $123.03 | $141.25 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $346.74 | Facility | None | $208.93 | $245.47 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $575.44 | Professional | None | $275.42 | $389.05 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $575.44 | Facility | None | $275.42 | $512.86 | $575.44 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $416.87 | Professional | None | $190.55 | $275.42 | $416.87 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | None | $114.82 | $114.82 | $204.17 |
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 $102.33 Median $104.71 Typical High $144.54 | Professional | 52 · Reduced service | $102.33 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $41.69 | $41.69 | $58.88 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$363
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.