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 $97.72 Median $223.87 Typical High $588.84 | Facility | None | $97.72 | $223.87 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $162.18 | Professional | None | $95.50 | $97.72 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $389.05 Typical High $588.84 | Facility | None | $134.90 | $389.05 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $281.84 | Professional | None | $128.82 | $128.82 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $407.38 | Facility | None | $75.86 | $154.88 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $194.98 | Professional | None | $66.07 | $83.18 | $194.98 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $229.09 | Facility | None | $97.72 | $123.03 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $331.13 | Professional | None | $128.82 | $181.97 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $269.15 | Facility | None | $128.82 | $239.88 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $190.55 | Professional | None | $89.13 | $128.82 | $190.55 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $95.50 | Professional | None | $53.70 | $74.13 | $95.50 |
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 $47.86 Median $48.98 Typical High $67.61 | Professional | 52 · Reduced service | $47.86 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $26.92 | Professional | 53 · Discontinued | $19.05 | $19.50 | $26.92 |
Where Colorado sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 12th of 51
$170
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.