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 $24.55 Median $38.02 Typical High $112.20 | Facility | None | $24.55 | $38.02 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $39.81 | Professional | None | $20.89 | $24.55 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,380.38 | Facility | None | $660.69 | $776.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $91.20 | Professional | None | $18.62 | $25.12 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $54.95 Typical High $79.43 | Facility | None | $2.63 | $54.95 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $45.71 | Professional | None | $14.79 | $23.44 | $45.71 |
Denver HMP Setting Facility Modifier None Typical Low $21.88 Median $34.67 Typical High $46.77 | Facility | None | $21.88 | $34.67 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,862.09 | Facility | None | $1,548.82 | $1,659.59 | $1,862.09 |
United Setting Professional Modifier None Typical Low $12.02 Median $19.05 Typical High $30.90 | Professional | None | $12.02 | $19.05 | $30.90 |
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 $12.30 Median $12.30 Typical High $21.88 | Professional | 52 · Reduced service | $12.30 | $12.30 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $8.71 | Professional | 53 · Discontinued | $4.90 | $4.90 | $8.71 |
Where Colorado sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 34th of 51
$28.84
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.