How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $63.10 Median $3,388.44 Typical High $10,715.19 | Facility | None | $63.10 | $3,388.44 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $107.15 Typical High $186.21 | Professional | None | $39.81 | $107.15 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $9,120.11 | Facility | None | $2,290.87 | $3,548.13 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $128.82 Typical High $257.04 | Professional | None | $45.71 | $128.82 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $117.49 Typical High $239.88 | Professional | None | $44.67 | $117.49 | $239.88 |
Denver HMP Setting Facility Modifier None Typical Low $39.81 Median $123.03 Typical High $199.53 | Facility | None | $39.81 | $123.03 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $91.20 Typical High $234.42 | Professional | None | $38.02 | $91.20 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $257.04 | Facility | None | $60.26 | $120.23 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $26.92 Median $51.29 Typical High $234.42 | Professional | None | $26.92 | $51.29 | $234.42 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $9,120.11 | Facility | None | $758.58 | $1,513.56 | $9,120.11 |
United Setting Professional Modifier None Typical Low $44.67 Median $117.49 Typical High $234.42 | Professional | None | $44.67 | $117.49 | $234.42 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $61.66 Median $151.36 Typical High $263.03 | Professional | 50 · Both sides | $61.66 | $151.36 | $263.03 |
Where Colorado sits
The same service costs 3.4 times more in Wisconsin than in Nebraska. 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· 12th of 51
$138
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.