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 $177.83 Median $371.54 Typical High $812.83 | Facility | None | $177.83 | $371.54 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | None | $131.83 | $131.83 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $524.81 Typical High $794.33 | Facility | None | $186.21 | $524.81 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $389.05 | Professional | None | $74.13 | $74.13 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $549.54 | Facility | None | $102.33 | $213.80 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $251.19 | Professional | None | $77.62 | $91.20 | $251.19 |
Denver HMP Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $218.78 | Facility | None | $131.83 | $158.49 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $446.68 | Professional | None | $173.78 | $251.19 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $371.54 | Facility | None | $173.78 | $323.59 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $263.03 | Professional | None | $123.03 | $173.78 | $263.03 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | None | $74.13 | $74.13 | $128.82 |
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 $66.07 Median $66.07 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $26.92 | $37.15 |
Where Colorado sits
The same service costs 3.8 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
$234
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.