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 $61.66 Median $61.66 Typical High $95.50 | Facility | None | $61.66 | $61.66 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $74.13 | Professional | None | $57.54 | $61.66 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $147.91 | Professional | None | $69.18 | $85.11 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $120.23 | Professional | None | $63.10 | $75.86 | $120.23 |
Denver HMP Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $87.10 | Facility | None | $61.66 | $69.18 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $109.65 | Professional | None | $56.23 | $72.44 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $53.70 Median $100.00 Typical High $114.82 | Facility | None | $53.70 | $100.00 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $123.03 | Professional | None | $38.02 | $54.95 | $123.03 |
United Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $154.88 | Professional | None | $64.57 | $93.33 | $154.88 |
1 more rate 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 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $12.30 | $13.49 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in New York. 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· 17th of 51
$81.28
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.