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 $131.83 Median $302.00 Typical High $794.33 | Facility | None | $131.83 | $302.00 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $288.40 | Professional | None | $128.82 | $131.83 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $524.81 Typical High $794.33 | Facility | None | $181.97 | $524.81 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $380.19 | Professional | None | $173.78 | $173.78 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $549.54 | Facility | None | $102.33 | $208.93 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $338.84 | Professional | None | $85.11 | $117.49 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $346.74 | Facility | None | $131.83 | $173.78 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $446.68 | Professional | None | $173.78 | $245.47 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $363.08 | Facility | None | $173.78 | $323.59 | $363.08 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $263.03 | Professional | None | $120.23 | $173.78 | $263.03 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $346.74 | Professional | None | $104.71 | $138.04 | $346.74 |
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 $64.57 Median $66.07 Typical High $144.54 | Professional | 52 · Reduced service | $64.57 | $66.07 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $57.54 | Professional | 53 · Discontinued | $26.30 | $26.30 | $57.54 |
Where Colorado sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 16th of 51
$251
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.