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 $97.72 Median $223.87 Typical High $588.84 | Facility | None | $97.72 | $223.87 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $162.18 | Professional | None | $95.50 | $97.72 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $380.19 Typical High $588.84 | Facility | None | $134.90 | $380.19 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $281.84 | Professional | None | $53.70 | $53.70 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $154.88 Typical High $398.11 | Facility | None | $74.13 | $154.88 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $186.21 | Professional | None | $58.88 | $69.18 | $186.21 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $199.53 | Facility | None | $97.72 | $114.82 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $323.59 | Professional | None | $128.82 | $181.97 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $269.15 | Facility | None | $128.82 | $234.42 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $190.55 | Professional | None | $89.13 | $128.82 | $190.55 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $93.33 | Professional | None | $53.70 | $63.10 | $93.33 |
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 $47.86 Median $48.98 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $32.36 | Professional | 53 · Discontinued | $19.05 | $19.50 | $32.36 |
Where Colorado sits
The same service costs 4.6 times more in Alaska than in Alabama. 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
$170
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.