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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $275.42 Typical High $275.42 | Professional | None | $42.66 | $275.42 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $562.34 | Professional | None | $269.15 | $371.54 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $616.60 | Professional | None | $239.88 | $331.13 | $616.60 |
Denver HMP Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $389.05 | Facility | None | $245.47 | $275.42 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $588.84 | Professional | None | $229.09 | $346.74 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $562.34 | Facility | None | $269.15 | $501.19 | $562.34 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $380.19 | Professional | None | $199.53 | $269.15 | $380.19 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $288.40 | Professional | None | $43.65 | $56.23 | $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 $27.54 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $27.54 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $10.96 | $54.95 | $54.95 |
Where Colorado sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 13th of 51
$331
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.