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 $89.13 Median $186.21 Typical High $407.38 | Facility | None | $89.13 | $186.21 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $87.10 | Professional | None | $64.57 | $66.07 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $263.03 Typical High $398.11 | Facility | None | $93.33 | $263.03 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $181.97 | Professional | None | $37.15 | $60.26 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $107.15 Typical High $269.15 | Facility | None | $51.29 | $107.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $125.89 | Professional | None | $41.69 | $58.88 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $125.89 | Facility | None | $66.07 | $87.10 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $186.21 | Professional | None | $70.79 | $120.23 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $186.21 | Facility | None | $87.10 | $162.18 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | None | $61.66 | $61.66 | $87.10 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $64.57 | Professional | None | $37.15 | $38.02 | $64.57 |
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 $32.36 Median $33.11 Typical High $43.65 | Professional | 52 · Reduced service | $32.36 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $12.88 | $13.49 | $17.38 |
Where Colorado sits
The same service costs 4.2 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· 21st of 51
$87.10
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.