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 $295.12 Median $616.60 Typical High $1,380.38 | Facility | None | $295.12 | $616.60 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $316.23 | Professional | None | $208.93 | $223.87 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $891.25 Typical High $1,348.96 | Facility | None | $316.23 | $891.25 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $660.69 | Professional | None | $123.03 | $123.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $354.81 Typical High $933.25 | Facility | None | $173.78 | $354.81 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $426.58 | Professional | None | $131.83 | $151.36 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $380.19 | Facility | None | $223.87 | $269.15 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $758.58 | Professional | None | $295.12 | $416.87 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $616.60 | Facility | None | $295.12 | $549.54 | $616.60 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $446.68 | Professional | None | $208.93 | $295.12 | $446.68 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | None | $123.03 | $123.03 | $218.78 |
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 $112.20 Median $112.20 Typical High $158.49 | Professional | 52 · Reduced service | $112.20 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $44.67 | $44.67 | $63.10 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 7th of 51
$380
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.