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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | None | $97.72 | $117.49 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $234.42 | Facility | None | $112.20 | $131.83 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $58.88 | Professional | None | $5.13 | $8.71 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $72.44 | Facility | None | $48.98 | $60.26 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $77.62 Typical High $380.19 | Professional | None | $21.38 | $77.62 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $169.82 | Facility | None | $100.00 | $117.49 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None | $77.62 | $77.62 | $91.20 |
United Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $275.42 | Facility | None | $229.09 | $239.88 | $275.42 |
United Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $48.98 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $23.44 | $23.44 |
Where Colorado sits
The same service costs 15.8 times more in Illinois than in Colorado. 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· 51st of 51
$31.62
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.