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 $138.04 Median $288.40 Typical High $645.65 | Facility | None | $138.04 | $288.40 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None | $104.71 | $104.71 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $363.08 | Facility | None | $104.71 | $245.47 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $229.09 | Professional | None | $46.77 | $54.95 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $275.42 | Facility | None | $42.66 | $56.23 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $114.82 | Professional | None | $41.69 | $104.71 | $114.82 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $151.36 | Facility | None | $66.07 | $104.71 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $181.97 | Professional | None | $63.10 | $112.20 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $165.96 | Facility | None | $79.43 | $147.91 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | None | $56.23 | $56.23 | $79.43 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $63.10 | Professional | None | $41.69 | $44.67 | $63.10 |
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 $52.48 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.88 |
Where Colorado sits
The same service costs 24.0 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· 13th of 51
$105
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.