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 $208.93 Median $436.52 Typical High $954.99 | Facility | None | $208.93 | $436.52 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $218.78 | Professional | None | $154.88 | $158.49 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $954.99 | Facility | None | $218.78 | $616.60 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $457.09 | Professional | None | $87.10 | $87.10 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $251.19 Typical High $660.69 | Facility | None | $120.23 | $251.19 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $302.00 | Professional | None | $100.00 | $128.82 | $302.00 |
Denver HMP Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $223.87 | Facility | None | $151.36 | $158.49 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $524.81 | Professional | None | $208.93 | $295.12 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $380.19 Typical High $436.52 | Facility | None | $208.93 | $380.19 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $309.03 | Professional | None | $144.54 | $208.93 | $309.03 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $154.88 | Professional | None | $87.10 | $117.49 | $154.88 |
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 $77.62 Median $79.43 Typical High $109.65 | Professional | 52 · Reduced service | $77.62 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $43.65 | Professional | 53 · Discontinued | $30.90 | $31.62 | $43.65 |
Where Colorado sits
The same service costs 3.8 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· 6th of 51
$275
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.