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 $131.83 Median $131.83 Typical High $208.93 | Facility | None | $131.83 | $131.83 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $204.17 | Professional | None | $81.28 | $131.83 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $302.00 | Professional | None | $128.82 | $173.78 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $186.21 | Professional | None | $70.79 | $114.82 | $186.21 |
Denver HMP Setting Facility Modifier None Typical Low $61.66 Median $131.83 Typical High $190.55 | Facility | None | $61.66 | $131.83 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $245.47 | Professional | None | $123.03 | $165.96 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $257.04 | Facility | None | $123.03 | $223.87 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $169.82 | Professional | None | $85.11 | $123.03 | $169.82 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $309.03 | Facility | None | $257.04 | $269.15 | $309.03 |
United Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $208.93 | Professional | None | $77.62 | $128.82 | $208.93 |
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 $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in Alabama. 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
$151
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.