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 $109.65 Median $251.19 Typical High $501.19 | Facility | None | $109.65 | $251.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None | $109.65 | $109.65 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $660.69 | Facility | None | $151.36 | $436.52 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $316.23 | Professional | None | $144.54 | $144.54 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $173.78 Typical High $457.09 | Facility | None | $85.11 | $173.78 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $257.04 | Professional | None | $67.61 | $89.13 | $257.04 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $257.04 | Facility | None | $109.65 | $144.54 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $371.54 | Professional | None | $144.54 | $204.17 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $302.00 | Facility | None | $144.54 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $218.78 | Professional | None | $102.33 | $144.54 | $218.78 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $288.40 | Professional | None | $87.10 | $104.71 | $288.40 |
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 $54.95 Typical High $107.15 | Professional | 52 · Reduced service | $53.70 | $54.95 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $42.66 | Professional | 53 · Discontinued | $21.88 | $21.88 | $42.66 |
Where Colorado sits
The same service costs 5.0 times more in Kansas 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· 14th of 51
$204
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.