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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | None | $85.11 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $213.80 | Professional | None | $104.71 | $138.04 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Denver HMP Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $147.91 | Facility | None | $83.18 | $102.33 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $194.98 | Professional | None | $75.86 | $114.82 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $186.21 | Facility | None | $89.13 | $165.96 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $128.82 | Professional | None | $75.86 | $95.50 | $128.82 |
United Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $194.98 | Professional | None | $107.15 | $134.90 | $194.98 |
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 $42.66 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $20.42 | $20.42 |
Where Colorado sits
The same service costs 2.2 times more in Nebraska than in Texas. 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
$126
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.