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 $309.03 Median $645.65 Typical High $1,412.54 | Facility | None | $309.03 | $645.65 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $323.59 | Professional | None | $213.80 | $234.42 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $933.25 Typical High $1,412.54 | Facility | None | $323.59 | $933.25 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $676.08 | Professional | None | $128.82 | $128.82 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $371.54 Typical High $977.24 | Facility | None | $181.97 | $371.54 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $446.68 | Professional | None | $144.54 | $162.18 | $446.68 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $331.13 | Facility | None | $234.42 | $234.42 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $676.08 | Professional | None | $309.03 | $436.52 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $645.65 | Facility | None | $309.03 | $575.44 | $645.65 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $457.09 | Professional | None | $213.80 | $309.03 | $457.09 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $186.21 | Professional | None | $67.61 | $128.82 | $186.21 |
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 $107.15 Median $117.49 Typical High $162.18 | Professional | 52 · Reduced service | $107.15 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $46.77 | $64.57 |
Where Colorado sits
The same service costs 5.9 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
$407
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.