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 $128.82 Median $354.81 Typical High $776.25 | Facility | None | $128.82 | $354.81 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $234.42 | Professional | None | $128.82 | $128.82 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $512.86 Typical High $776.25 | Facility | None | $177.83 | $512.86 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $371.54 | Professional | None | $70.79 | $70.79 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $204.17 Typical High $537.03 | Facility | None | $100.00 | $204.17 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $245.47 | Professional | None | $79.43 | $89.13 | $245.47 |
Denver HMP Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $186.21 | Facility | None | $128.82 | $151.36 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $436.52 | Professional | None | $169.82 | $239.88 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $354.81 | Facility | None | $169.82 | $316.23 | $354.81 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $257.04 | Professional | None | $120.23 | $169.82 | $257.04 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $125.89 | Professional | None | $53.70 | $70.79 | $125.89 |
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 $63.10 Median $64.57 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $25.70 | $36.31 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 7th of 51
$224
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.