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 $93.33 Median $213.80 Typical High $562.34 | Facility | None | $93.33 | $213.80 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $169.82 | Professional | None | $93.33 | $93.33 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $363.08 Typical High $562.34 | Facility | None | $128.82 | $363.08 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $269.15 | Professional | None | $51.29 | $51.29 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $147.91 Typical High $389.05 | Facility | None | $70.79 | $147.91 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $177.83 | Professional | None | $58.88 | $75.86 | $177.83 |
Denver HMP Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $218.78 | Facility | None | $93.33 | $117.49 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $316.23 | Professional | None | $123.03 | $173.78 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $257.04 | Facility | None | $123.03 | $223.87 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $181.97 | Professional | None | $85.11 | $123.03 | $181.97 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $91.20 | Professional | None | $51.29 | $70.79 | $91.20 |
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 $45.71 Median $46.77 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $18.62 | $25.70 |
Where Colorado sits
The same service costs 4.9 times more in Texas 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· 10th of 51
$162
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.