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 $134.90 Median $134.90 Typical High $208.93 | Facility | None | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $165.96 | Professional | None | $125.89 | $134.90 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $302.00 | Professional | None | $144.54 | $199.53 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $257.04 | Professional | None | $131.83 | $165.96 | $257.04 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $190.55 | Facility | None | $134.90 | $147.91 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $309.03 | Professional | None | $120.23 | $181.97 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $295.12 | Facility | None | $141.25 | $263.03 | $295.12 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $199.53 | Professional | None | $102.33 | $125.89 | $199.53 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $676.08 | Facility | None | $562.34 | $588.84 | $676.08 |
United Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $269.15 | Professional | None | $128.82 | $169.82 | $269.15 |
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 $61.66 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $26.92 | $29.51 |
Where Colorado sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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
$182
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.