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 $269.15 Median $616.60 Typical High $1,659.59 | Facility | None | $269.15 | $616.60 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $269.15 Typical High $354.81 | Professional | None | $263.03 | $269.15 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $1,071.52 Typical High $1,621.81 | Facility | None | $380.19 | $1,071.52 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $741.31 | Professional | None | $151.36 | $245.47 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $1,096.48 | Facility | None | $204.17 | $436.52 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $512.86 | Professional | None | $186.21 | $257.04 | $512.86 |
Denver HMP Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $446.68 | Facility | None | $269.15 | $346.74 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $1,380.38 | Professional | None | $288.40 | $512.86 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $758.58 | Facility | None | $354.81 | $660.69 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Professional | None | $251.19 | $251.19 | $354.81 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $263.03 | Professional | None | $151.36 | $204.17 | $263.03 |
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 $131.83 Median $134.90 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $54.95 | $70.79 |
Where Colorado sits
The same service costs 5.4 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· 22nd of 51
$355
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.