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 $151.36 Median $316.23 Typical High $691.83 | Facility | None | $151.36 | $316.23 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $158.49 | Professional | None | $100.00 | $114.82 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $446.68 Typical High $691.83 | Facility | None | $158.49 | $446.68 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $331.13 | Professional | None | $63.10 | $63.10 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $181.97 Typical High $478.63 | Facility | None | $87.10 | $181.97 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $218.78 | Professional | None | $69.18 | $81.28 | $218.78 |
Denver HMP Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $186.21 | Facility | None | $114.82 | $134.90 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $346.74 | Professional | None | $151.36 | $213.80 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $316.23 | Facility | None | $151.36 | $275.42 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $223.87 | Professional | None | $104.71 | $151.36 | $223.87 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $112.20 | Professional | None | $63.10 | $63.10 | $112.20 |
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 $52.48 Median $57.54 Typical High $79.43 | Professional | 52 · Reduced service | $52.48 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $31.62 | Professional | 53 · Discontinued | $20.89 | $22.91 | $31.62 |
Where Colorado sits
The same service costs 5.4 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· 6th of 51
$200
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.