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 $104.71 Median $3,235.94 Typical High $7,762.47 | Facility | None | $104.71 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $190.55 | Professional | None | $69.18 | $104.71 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $190.55 | Professional | None | $93.33 | $128.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $1,659.59 | Facility | None | $79.43 | $102.33 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $204.17 | Professional | None | $93.33 | $138.04 | $204.17 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $186.21 | Facility | None | $69.18 | $112.20 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $208.93 | Professional | None | $79.43 | $131.83 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $257.04 | Facility | None | $100.00 | $120.23 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $120.23 Typical High $234.42 | Professional | None | $50.12 | $120.23 | $234.42 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $2,951.21 | Facility | None | $489.78 | $1,174.90 | $2,951.21 |
United Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $234.42 | Professional | None | $97.72 | $151.36 | $234.42 |
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 $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $34.67 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $14.13 | $19.50 | $23.44 |
Where Colorado sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 14th of 51
$155
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.