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 $109.65 Median $229.09 Typical High $501.19 | Facility | None | $109.65 | $229.09 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $114.82 | Professional | None | $81.28 | $83.18 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $331.13 Typical High $501.19 | Facility | None | $114.82 | $331.13 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $239.88 | Professional | None | $45.71 | $45.71 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $131.83 Typical High $346.74 | Facility | None | $64.57 | $131.83 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $158.49 | Professional | None | $52.48 | $67.61 | $158.49 |
Denver HMP Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $194.98 | Facility | None | $83.18 | $104.71 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $281.84 | Professional | None | $109.65 | $154.88 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $229.09 | Facility | None | $109.65 | $204.17 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $162.18 | Professional | None | $75.86 | $109.65 | $162.18 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $81.28 | Professional | None | $45.71 | $63.10 | $81.28 |
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 $40.74 Median $41.69 Typical High $57.54 | Professional | 52 · Reduced service | $40.74 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $22.91 | Professional | 53 · Discontinued | $16.22 | $16.60 | $22.91 |
Where Colorado sits
The same service costs 3.9 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
$145
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.