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 $64.57 Median $147.91 Typical High $295.12 | Facility | None | $64.57 | $147.91 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $134.90 | Professional | None | $64.57 | $64.57 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $257.04 Typical High $389.05 | Facility | None | $89.13 | $257.04 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $186.21 | Professional | None | $85.11 | $85.11 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $269.15 | Facility | None | $50.12 | $102.33 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $141.25 | Professional | None | $43.65 | $60.26 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $169.82 | Facility | None | $64.57 | $85.11 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $218.78 | Professional | None | $85.11 | $120.23 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $128.82 | Professional | None | $60.26 | $85.11 | $128.82 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | None | $35.48 | $48.98 | $63.10 |
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 $31.62 Median $32.36 Typical High $72.44 | Professional | 52 · Reduced service | $31.62 | $32.36 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $29.51 | Professional | 53 · Discontinued | $12.88 | $12.88 | $29.51 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 13th of 51
$112
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.