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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $87.10 | Professional | None | $66.07 | $83.18 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $190.55 | Professional | None | $95.50 | $131.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Denver HMP Setting Facility Modifier None Typical Low $33.88 Median $83.18 Typical High $165.96 | Facility | None | $33.88 | $83.18 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $758.58 | Professional | None | $199.53 | $346.74 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $478.63 | Professional | None | $251.19 | $251.19 | $478.63 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $436.52 | Professional | None | $158.49 | $239.88 | $436.52 |
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 $33.11 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $16.60 | $17.38 |
Where Colorado sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 28th of 51
$123
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.