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 $1,698.24 Typical High $3,715.35 | Facility | None | $812.83 | $1,698.24 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $794.33 | Professional | None | $537.03 | $602.56 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $2,398.83 Typical High $3,630.78 | Facility | None | $851.14 | $2,398.83 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $1,659.59 | Professional | None | $338.84 | $549.54 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $2,454.71 | Facility | None | $426.58 | $851.14 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $426.58 Typical High $1,148.15 | Professional | None | $169.82 | $426.58 | $1,148.15 |
Denver HMP Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $954.99 | Facility | None | $575.44 | $645.65 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,698.24 | Professional | None | $645.65 | $1,174.90 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $1,698.24 | Facility | None | $794.33 | $1,479.11 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | None | $562.34 | $562.34 | $794.33 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $588.84 | Professional | None | $194.98 | $338.84 | $588.84 |
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 $269.15 Median $302.00 Typical High $398.11 | Professional | 52 · Reduced service | $269.15 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $123.03 Typical High $158.49 | Professional | 53 · Discontinued | $107.15 | $123.03 | $158.49 |
Where Colorado sits
The same service costs 11.0 times more in Alaska than in Alabama. 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
$794
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.