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 $229.09 Median $524.81 Typical High $1,380.38 | Facility | None | $229.09 | $524.81 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $457.09 | Professional | None | $190.55 | $229.09 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $1,380.38 | Facility | None | $316.23 | $912.01 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $660.69 | Professional | None | $125.89 | $125.89 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $363.08 Typical High $954.99 | Facility | None | $177.83 | $363.08 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $436.52 | Professional | None | $141.25 | $223.87 | $436.52 |
Denver HMP Setting Facility Modifier None Typical Low $229.09 Median $269.15 Typical High $380.19 | Facility | None | $229.09 | $269.15 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $630.96 | Professional | None | $239.88 | $426.58 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $630.96 | Facility | None | $302.00 | $562.34 | $630.96 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $457.09 | Professional | None | $208.93 | $302.00 | $457.09 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | None | $125.89 | $125.89 | $223.87 |
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 $104.71 Median $114.82 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $45.71 | $64.57 |
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
$398
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.