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 $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $117.49 | Professional | None | $74.13 | $81.28 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $162.18 | Professional | None | $81.28 | $109.65 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $165.96 | Professional | None | $87.10 | $104.71 | $165.96 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $151.36 | Facility | None | $81.28 | $112.20 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $169.82 | Professional | None | $64.57 | $100.00 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $141.25 Typical High $162.18 | Facility | None | $75.86 | $141.25 | $162.18 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $112.20 | Professional | None | $61.66 | $77.62 | $112.20 |
United Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $154.88 | Professional | None | $79.43 | $100.00 | $154.88 |
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 $35.48 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $35.48 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.22 |
Where Colorado sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 22nd of 51
$102
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.