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 $165.96 Median $380.19 Typical High $1,000.00 | Facility | None | $165.96 | $380.19 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | None | $165.96 | $165.96 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $660.69 Typical High $1,000.00 | Facility | None | $229.09 | $660.69 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $478.63 | Professional | None | $218.78 | $218.78 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $263.03 Typical High $691.83 | Facility | None | $128.82 | $263.03 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $346.74 | Professional | None | $109.65 | $147.91 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $380.19 | Facility | None | $165.96 | $208.93 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $562.34 | Professional | None | $218.78 | $309.03 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $457.09 | Facility | None | $218.78 | $407.38 | $457.09 |
Select Health Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $323.59 | Professional | None | $151.36 | $218.78 | $323.59 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $162.18 | Professional | None | $91.20 | $123.03 | $162.18 |
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 $81.28 Median $83.18 Typical High $114.82 | Professional | 52 · Reduced service | $81.28 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $45.71 | Professional | 53 · Discontinued | $32.36 | $33.11 | $45.71 |
Where Colorado sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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· 7th of 51
$288
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.