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 $89.13 Median $204.17 Typical High $407.38 | Facility | None | $89.13 | $204.17 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $147.91 | Professional | None | $63.10 | $89.13 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $346.74 Typical High $537.03 | Facility | None | $123.03 | $346.74 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $363.08 | Professional | None | $117.49 | $141.25 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $141.25 Typical High $371.54 | Facility | None | $67.61 | $141.25 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $257.04 | Professional | None | $60.26 | $87.10 | $257.04 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $112.20 Typical High $234.42 | Facility | None | $72.44 | $112.20 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $457.09 | Professional | None | $123.03 | $165.96 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $245.47 | Facility | None | $117.49 | $213.80 | $245.47 |
Select Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $173.78 | Professional | None | $117.49 | $117.49 | $173.78 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $269.15 | Professional | None | $69.18 | $102.33 | $269.15 |
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 $34.67 Median $44.67 Typical High $61.66 | Professional | 52 · Reduced service | $34.67 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.78 Typical High $24.55 | Professional | 53 · Discontinued | $13.80 | $17.78 | $24.55 |
Where Colorado sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 4th of 51
$240
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.