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 $309.03 Median $707.95 Typical High $1,862.09 | Facility | None | $309.03 | $707.95 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $489.78 | Professional | None | $302.00 | $309.03 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $1,202.26 Typical High $1,862.09 | Facility | None | $426.58 | $1,202.26 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $891.25 | Professional | None | $169.82 | $169.82 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $1,258.93 | Facility | None | $234.42 | $489.78 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $588.84 | Professional | None | $190.55 | $251.19 | $588.84 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $724.44 | Facility | None | $309.03 | $389.05 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $1,023.29 | Professional | None | $398.11 | $575.44 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $851.14 | Facility | None | $398.11 | $741.31 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $602.56 | Professional | None | $281.84 | $398.11 | $602.56 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $295.12 | Professional | None | $169.82 | $229.09 | $295.12 |
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 $151.36 Median $151.36 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $97.72 | Professional | 53 · Discontinued | $60.26 | $61.66 | $97.72 |
Where Colorado sits
The same service costs 3.8 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· 8th of 51
$537
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.