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 $190.55 Median $407.38 Typical High $891.25 | Facility | None | $190.55 | $407.38 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $204.17 | Professional | None | $134.90 | $144.54 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $575.44 Typical High $870.96 | Facility | None | $257.04 | $575.44 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $426.58 | Professional | None | $81.28 | $81.28 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $234.42 Typical High $602.56 | Facility | None | $112.20 | $234.42 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $93.33 Typical High $275.42 | Professional | None | $37.15 | $93.33 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $208.93 | Facility | None | $131.83 | $144.54 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $407.38 | Professional | None | $190.55 | $275.42 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $407.38 | Facility | None | $190.55 | $354.81 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $288.40 | Professional | None | $134.90 | $190.55 | $288.40 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $35.48 Median $81.28 Typical High $114.82 | Professional | None | $35.48 | $81.28 | $114.82 |
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 $67.61 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $67.61 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $29.51 | $40.74 |
Where Colorado sits
The same service costs 5.4 times more in Texas than in Ohio. 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
$251
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.