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 $141.25 Median $323.59 Typical High $851.14 | Facility | None | $141.25 | $323.59 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $275.42 | Professional | None | $107.15 | $141.25 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $549.54 Typical High $851.14 | Facility | None | $194.98 | $549.54 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $407.38 | Professional | None | $77.62 | $77.62 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $588.84 | Facility | None | $107.15 | $223.87 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $269.15 | Professional | None | $85.11 | $134.90 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $229.09 | Facility | None | $141.25 | $165.96 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $478.63 | Professional | None | $186.21 | $263.03 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $338.84 Typical High $389.05 | Facility | None | $186.21 | $338.84 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $275.42 | Professional | None | $128.82 | $186.21 | $275.42 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $138.04 | Professional | None | $77.62 | $77.62 | $138.04 |
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 $64.57 Median $70.79 Typical High $97.72 | Professional | 52 · Reduced service | $64.57 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $38.90 | Professional | 53 · Discontinued | $25.70 | $28.18 | $38.90 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$245
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.