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 $81.28 Median $186.21 Typical High $489.78 | Facility | None | $81.28 | $186.21 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $107.15 | Professional | None | $74.13 | $81.28 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $316.23 Typical High $489.78 | Facility | None | $112.20 | $316.23 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $218.78 | Professional | None | $44.67 | $72.44 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $128.82 Typical High $323.59 | Facility | None | $61.66 | $128.82 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $151.36 | Professional | None | $41.69 | $58.88 | $151.36 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $131.83 | Facility | None | $81.28 | $104.71 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $154.88 Typical High $239.88 | Professional | None | $85.11 | $154.88 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $223.87 | Facility | None | $107.15 | $194.98 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | None | $74.13 | $74.13 | $107.15 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $79.43 | Professional | None | $38.02 | $44.67 | $79.43 |
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 $37.15 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $37.15 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $21.38 | Professional | 53 · Discontinued | $14.79 | $16.22 | $21.38 |
Where Colorado sits
The same service costs 6.2 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· 19th of 51
$110
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.