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 $223.87 Median $467.74 Typical High $1,023.29 | Facility | None | $223.87 | $467.74 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | None | $165.96 | $165.96 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $660.69 Typical High $1,000.00 | Facility | None | $234.42 | $660.69 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $489.78 | Professional | None | $93.33 | $93.33 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $269.15 Typical High $691.83 | Facility | None | $128.82 | $269.15 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $323.59 | Professional | None | $104.71 | $138.04 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $398.11 | Facility | None | $165.96 | $213.80 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $562.34 | Professional | None | $218.78 | $316.23 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $467.74 | Facility | None | $218.78 | $407.38 | $467.74 |
Select Health Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $331.13 | Professional | None | $154.88 | $218.78 | $331.13 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $162.18 | Professional | None | $93.33 | $125.89 | $162.18 |
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 $83.18 Median $83.18 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $33.88 | $46.77 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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
$295
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.