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 $107.15 Median $245.47 Typical High $645.65 | Facility | None | $107.15 | $245.47 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $177.83 | Professional | None | $104.71 | $107.15 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $426.58 Typical High $645.65 | Facility | None | $147.91 | $426.58 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $446.68 | Professional | None | $141.25 | $169.82 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $169.82 Typical High $446.68 | Facility | None | $83.18 | $169.82 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $309.03 | Professional | None | $72.44 | $104.71 | $309.03 |
Denver HMP Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $281.84 | Facility | None | $95.50 | $134.90 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $549.54 | Professional | None | $147.91 | $199.53 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $295.12 | Facility | None | $141.25 | $263.03 | $295.12 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | None | $141.25 | $141.25 | $208.93 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $323.59 | Professional | None | $85.11 | $123.03 | $323.59 |
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 $53.70 Median $53.70 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $21.38 | $29.51 |
Where Colorado sits
The same service costs 6.0 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
$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.