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 $194.98 Median $446.68 Typical High $1,202.26 | Facility | None | $194.98 | $446.68 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $446.68 | Professional | None | $194.98 | $194.98 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $776.25 Typical High $1,174.90 | Facility | None | $269.15 | $776.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $575.44 | Professional | None | $257.04 | $257.04 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $812.83 | Facility | None | $151.36 | $309.03 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $524.81 | Professional | None | $131.83 | $181.97 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $512.86 | Facility | None | $194.98 | $257.04 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $660.69 | Professional | None | $257.04 | $363.08 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $537.03 | Facility | None | $257.04 | $478.63 | $537.03 |
Select Health Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $389.05 | Professional | None | $181.97 | $257.04 | $389.05 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $190.55 | Professional | None | $107.15 | $147.91 | $190.55 |
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 $95.50 Median $97.72 Typical High $218.78 | Professional | 52 · Reduced service | $95.50 | $97.72 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $89.13 | Professional | 53 · Discontinued | $38.90 | $38.90 | $89.13 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$339
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.