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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,258.93 | Professional | None | $812.83 | $812.83 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,495.41 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,513.56 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,318.26 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,380.38 | Facility | None | $812.83 | $1,148.15 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,737.80 | Professional | None | $831.76 | $1,174.90 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $1,659.59 Typical High $1,737.80 | Facility | None | $831.76 | $1,659.59 | $1,737.80 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,621.81 | Professional | None | $575.44 | $831.76 | $1,621.81 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,380.38 | $2,041.74 |
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 $407.38 Median $407.38 Typical High $512.86 | Professional | 52 · Reduced service | $407.38 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $162.18 | $204.17 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 10th of 51
$1,585
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.