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 $263.03 Median $549.54 Typical High $1,202.26 | Facility | None | $263.03 | $549.54 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $263.03 | Professional | None | $173.78 | $199.53 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $776.25 Typical High $1,202.26 | Facility | None | $275.42 | $776.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $537.03 | Professional | None | $109.65 | $177.83 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $831.76 | Facility | None | $138.04 | $181.97 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $380.19 | Professional | None | $120.23 | $190.55 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $323.59 | Facility | None | $199.53 | $234.42 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $630.96 | Professional | None | $245.47 | $371.54 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $549.54 | Facility | None | $263.03 | $478.63 | $549.54 |
Select Health Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None | $181.97 | $263.03 | $389.05 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | None | $109.65 | $109.65 | $194.98 |
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 $91.20 Median $100.00 Typical High $128.82 | Professional | 52 · Reduced service | $91.20 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $52.48 | Professional | 53 · Discontinued | $36.31 | $39.81 | $52.48 |
Where Colorado sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 20th 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.