How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $102.33 Median $128.82 Typical High $169.82 | Facility | None | $102.33 | $128.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $120.23 | Professional | None | $89.13 | $102.33 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $223.87 | Professional | None | $109.65 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $213.80 | Professional | None | $95.50 | $138.04 | $213.80 |
Denver HMP Setting Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $169.82 | Facility | None | $102.33 | $128.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | None | $100.00 | $141.25 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $199.53 | Facility | None | $95.50 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $186.21 | Professional | None | $72.44 | $97.72 | $186.21 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $213.80 | Professional | None | $91.20 | $134.90 | $213.80 |
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 $44.67 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $44.67 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $20.42 | $21.88 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 18th of 51
$138
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.