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 $89.13 Median $186.21 Typical High $407.38 | Facility | None | $89.13 | $186.21 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $93.33 | Professional | None | $61.66 | $67.61 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $263.03 Typical High $407.38 | Facility | None | $93.33 | $263.03 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $194.98 | Professional | None | $37.15 | $37.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $107.15 Typical High $281.84 | Facility | None | $51.29 | $107.15 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $128.82 | Professional | None | $40.74 | $46.77 | $128.82 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $109.65 | Facility | None | $67.61 | $79.43 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $223.87 | Professional | None | $89.13 | $125.89 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $162.18 Typical High $186.21 | Facility | None | $89.13 | $162.18 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $131.83 | Professional | None | $61.66 | $89.13 | $131.83 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | None | $37.15 | $37.15 | $64.57 |
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 $30.90 Median $33.88 Typical High $46.77 | Professional | 52 · Reduced service | $30.90 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $18.62 | Professional | 53 · Discontinued | $12.30 | $13.49 | $18.62 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$117
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.