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 $144.54 Median $302.00 Typical High $660.69 | Facility | None | $144.54 | $302.00 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $199.53 | Professional | None | $109.65 | $109.65 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $426.58 Typical High $660.69 | Facility | None | $151.36 | $426.58 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $316.23 | Professional | None | $60.26 | $60.26 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $446.68 | Facility | None | $83.18 | $125.89 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $208.93 | Professional | None | $66.07 | $75.86 | $208.93 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $190.55 | Facility | None | $109.65 | $128.82 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $338.84 | Professional | None | $141.25 | $204.17 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $302.00 | Facility | None | $141.25 | $263.03 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $213.80 | Professional | None | $100.00 | $141.25 | $213.80 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | None | $60.26 | $60.26 | $104.71 |
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 $53.70 Median $53.70 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $21.88 | $30.20 |
Where Colorado sits
The same service costs 5.1 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
$186
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.