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 $331.13 Median $691.83 Typical High $1,513.56 | Facility | None | $331.13 | $691.83 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $354.81 | Professional | None | $229.09 | $251.19 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $1,000.00 Typical High $1,513.56 | Facility | None | $346.74 | $1,000.00 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $724.44 | Professional | None | $138.04 | $138.04 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $398.11 Typical High $1,047.13 | Facility | None | $194.98 | $398.11 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $478.63 | Professional | None | $154.88 | $173.78 | $478.63 |
Denver HMP Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $363.08 | Facility | None | $251.19 | $251.19 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $691.83 | Professional | None | $331.13 | $467.74 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $691.83 | Facility | None | $331.13 | $616.60 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $501.19 | Professional | None | $229.09 | $331.13 | $501.19 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $77.62 Median $138.04 Typical High $199.53 | Professional | None | $77.62 | $138.04 | $199.53 |
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 $114.82 Median $125.89 Typical High $173.78 | Professional | 52 · Reduced service | $114.82 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $70.79 | Professional | 53 · Discontinued | $46.77 | $50.12 | $70.79 |
Where Colorado sits
The same service costs 6.5 times more in Texas than in Kentucky. 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
$437
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.