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 $194.98 Median $407.38 Typical High $891.25 | Facility | None | $194.98 | $407.38 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $204.17 | Professional | None | $144.54 | $147.91 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $575.44 Typical High $891.25 | Facility | None | $204.17 | $575.44 | $891.25 |
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 $169.82 Typical High $616.60 | Facility | None | $112.20 | $169.82 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $281.84 | Professional | None | $89.13 | $102.33 | $281.84 |
Denver HMP Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $257.04 | Facility | None | $147.91 | $173.78 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $467.74 | Professional | None | $194.98 | $275.42 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $407.38 | Facility | None | $194.98 | $354.81 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $288.40 | Professional | None | $134.90 | $194.98 | $288.40 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | None | $81.28 | $81.28 | $144.54 |
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 $72.44 Median $74.13 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $40.74 | Professional | 53 · Discontinued | $28.84 | $29.51 | $40.74 |
Where Colorado sits
The same service costs 8.3 times more in Texas than in Delaware. 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
$257
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.