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 $263.03 Median $602.56 Typical High $1,584.89 | Facility | None | $263.03 | $602.56 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $446.68 | Professional | None | $257.04 | $263.03 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $1,047.13 Typical High $1,584.89 | Facility | None | $363.08 | $1,047.13 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $758.58 | Professional | None | $144.54 | $144.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $1,096.48 | Facility | None | $204.17 | $416.87 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $501.19 | Professional | None | $165.96 | $213.80 | $501.19 |
Denver HMP Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $616.60 | Facility | None | $263.03 | $331.13 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $891.25 | Professional | None | $346.74 | $489.78 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $724.44 | Facility | None | $346.74 | $645.65 | $724.44 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $512.86 | Professional | None | $239.88 | $346.74 | $512.86 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $257.04 | Professional | None | $144.54 | $199.53 | $257.04 |
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 $128.82 Median $131.83 Typical High $213.80 | Professional | 52 · Reduced service | $128.82 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $85.11 | Professional | 53 · Discontinued | $51.29 | $52.48 | $85.11 |
Where Colorado sits
The same service costs 4.6 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· 9th of 51
$457
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.