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 $239.88 Median $501.19 Typical High $1,096.48 | Facility | None | $239.88 | $501.19 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $251.19 | Professional | None | $165.96 | $181.97 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $707.95 Typical High $1,096.48 | Facility | None | $251.19 | $707.95 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $524.81 | Professional | None | $100.00 | $100.00 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $288.40 Typical High $758.58 | Facility | None | $138.04 | $288.40 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $346.74 | Professional | None | $109.65 | $125.89 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $257.04 | Facility | None | $181.97 | $199.53 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $501.19 | Professional | None | $239.88 | $338.84 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $436.52 Typical High $501.19 | Facility | None | $239.88 | $436.52 | $501.19 |
Select Health Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $354.81 | Professional | None | $165.96 | $239.88 | $354.81 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $162.18 | Professional | None | $67.61 | $100.00 | $162.18 |
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 $83.18 Median $91.20 Typical High $125.89 | Professional | 52 · Reduced service | $83.18 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $36.31 Typical High $50.12 | Professional | 53 · Discontinued | $33.11 | $36.31 | $50.12 |
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· 6th of 51
$316
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.