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 $204.17 Median $426.58 Typical High $933.25 | Facility | None | $204.17 | $426.58 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $213.80 | Professional | None | $151.36 | $154.88 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $602.56 Typical High $933.25 | Facility | None | $213.80 | $602.56 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $446.68 | Professional | None | $85.11 | $85.11 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $245.47 Typical High $645.65 | Facility | None | $117.49 | $245.47 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $295.12 | Professional | None | $91.20 | $104.71 | $295.12 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $251.19 | Facility | None | $154.88 | $181.97 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $512.86 | Professional | None | $204.17 | $288.40 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $371.54 Typical High $426.58 | Facility | None | $204.17 | $371.54 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $302.00 | Professional | None | $141.25 | $204.17 | $302.00 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $151.36 | Professional | None | $85.11 | $85.11 | $151.36 |
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 $75.86 Median $77.62 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $42.66 | Professional | 53 · Discontinued | $30.20 | $30.90 | $42.66 |
Where Colorado sits
The same service costs 3.8 times more in Alaska 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· 6th of 51
$269
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.