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 $245.47 Median $512.86 Typical High $1,148.15 | Facility | None | $245.47 | $512.86 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $263.03 | Professional | None | $173.78 | $186.21 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $741.31 Typical High $1,122.02 | Facility | None | $263.03 | $741.31 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $549.54 | Professional | None | $104.71 | $104.71 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $776.25 | Facility | None | $144.54 | $295.12 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $354.81 | Professional | None | $114.82 | $128.82 | $354.81 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $269.15 | Facility | None | $169.82 | $186.21 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $630.96 | Professional | None | $245.47 | $346.74 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $512.86 | Facility | None | $245.47 | $457.09 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $371.54 | Professional | None | $173.78 | $245.47 | $371.54 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | None | $104.71 | $104.71 | $181.97 |
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 $87.10 Median $93.33 Typical High $131.83 | Professional | 52 · Reduced service | $87.10 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $52.48 | Professional | 53 · Discontinued | $34.67 | $37.15 | $52.48 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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
$331
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.