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 $338.84 Median $707.95 Typical High $1,548.82 | Facility | None | $338.84 | $707.95 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $354.81 | Professional | None | $234.42 | $257.04 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $1,023.29 Typical High $1,548.82 | Facility | None | $354.81 | $1,023.29 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $741.31 | Professional | None | $141.25 | $141.25 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $1,071.52 | Facility | None | $199.53 | $407.38 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $489.78 | Professional | None | $158.49 | $177.83 | $489.78 |
Denver HMP Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $363.08 | Facility | None | $257.04 | $257.04 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $707.95 | Professional | None | $338.84 | $478.63 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $630.96 Typical High $707.95 | Facility | None | $338.84 | $630.96 | $707.95 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $501.19 | Professional | None | $234.42 | $338.84 | $501.19 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $54.95 Median $141.25 Typical High $204.17 | Professional | None | $54.95 | $141.25 | $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 $117.49 Median $128.82 Typical High $177.83 | Professional | 52 · Reduced service | $117.49 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $70.79 | Professional | 53 · Discontinued | $46.77 | $51.29 | $70.79 |
Where Colorado sits
The same service costs 6.6 times more in Texas than in Kentucky. 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
$447
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.