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 $213.80 Median $446.68 Typical High $977.24 | Facility | None | $213.80 | $446.68 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $346.74 | Professional | None | $158.49 | $162.18 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $645.65 Typical High $977.24 | Facility | None | $223.87 | $645.65 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $467.74 | Professional | None | $89.13 | $89.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $676.08 | Facility | None | $125.89 | $257.04 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $309.03 | Professional | None | $100.00 | $112.20 | $309.03 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $234.42 | Facility | None | $162.18 | $190.55 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $446.68 | Professional | None | $213.80 | $302.00 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $398.11 Typical High $446.68 | Facility | None | $213.80 | $398.11 | $446.68 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $323.59 | Professional | None | $147.91 | $213.80 | $323.59 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $151.36 | Professional | None | $63.10 | $89.13 | $151.36 |
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 $79.43 Median $81.28 Typical High $169.82 | Professional | 52 · Reduced service | $79.43 | $81.28 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $69.18 | Professional | 53 · Discontinued | $32.36 | $32.36 | $69.18 |
Where Colorado sits
The same service costs 3.7 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· 6th of 51
$282
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.