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 $245.47 Median $562.34 Typical High $1,513.56 | Facility | None | $245.47 | $562.34 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $323.59 | Professional | None | $204.17 | $245.47 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $977.24 Typical High $1,479.11 | Facility | None | $346.74 | $977.24 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $676.08 | Professional | None | $138.04 | $223.87 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $309.03 Typical High $1,000.00 | Facility | None | $173.78 | $309.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $173.78 Typical High $467.74 | Professional | None | $75.86 | $173.78 | $467.74 |
Denver HMP Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $389.05 | Facility | None | $204.17 | $257.04 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $1,071.52 | Professional | None | $263.03 | $467.74 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $691.83 | Facility | None | $323.59 | $602.56 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $323.59 | Professional | None | $229.09 | $229.09 | $323.59 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $239.88 | Professional | None | $66.07 | $138.04 | $239.88 |
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 $107.15 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $107.15 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $43.65 | $48.98 | $64.57 |
Where Colorado sits
The same service costs 8.9 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· 17th of 51
$324
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.