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 $190.55 Median $398.11 Typical High $870.96 | Facility | None | $190.55 | $398.11 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $190.55 | Professional | None | $125.89 | $144.54 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $870.96 | Facility | None | $199.53 | $562.34 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $389.05 | Professional | None | $79.43 | $131.83 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $575.44 | Facility | None | $100.00 | $181.97 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $102.33 Typical High $269.15 | Professional | None | $33.88 | $102.33 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $229.09 | Facility | None | $93.33 | $144.54 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $478.63 | Professional | None | $151.36 | $275.42 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $346.74 Typical High $398.11 | Facility | None | $190.55 | $346.74 | $398.11 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | None | $131.83 | $131.83 | $190.55 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $30.90 Median $79.43 Typical High $141.25 | Professional | None | $30.90 | $79.43 | $141.25 |
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 $63.10 Median $72.44 Typical High $95.50 | Professional | 52 · Reduced service | $63.10 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $38.02 | Professional | 53 · Discontinued | $25.12 | $28.84 | $38.02 |
Where Colorado sits
The same service costs 11.2 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· 11th of 51
$191
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.