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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | None | $69.18 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $199.53 | Professional | None | $85.11 | $114.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $128.82 | Professional | None | $70.79 | $97.72 | $128.82 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $123.03 | Facility | None | $77.62 | $87.10 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $154.88 | Professional | None | $81.28 | $109.65 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $169.82 | Facility | None | $81.28 | $151.36 | $169.82 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $112.20 | Professional | None | $56.23 | $81.28 | $112.20 |
United Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $117.49 | Professional | None | $41.69 | $69.18 | $117.49 |
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 $34.67 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $17.38 | $17.38 |
Where Colorado sits
The same service costs 6.6 times more in Alaska than in Missouri. 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· 15th of 51
$100
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.