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 $1,819.70 Median $3,801.89 Typical High $8,511.38 | Facility | None | $1,819.70 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,380.38 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $5,495.41 Typical High $8,317.64 | Facility | None | $1,949.84 | $5,495.41 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $4,073.80 | Professional | None | $758.58 | $758.58 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $2,187.76 Typical High $5,754.40 | Facility | None | $1,071.52 | $2,187.76 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $2,818.38 | Professional | None | $933.25 | $1,230.27 | $2,818.38 |
Denver HMP Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,778.28 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,570.40 | $4,677.35 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $3,801.89 | Facility | None | $1,819.70 | $3,388.44 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,819.70 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,348.96 | Professional | None | $758.58 | $1,047.13 | $1,348.96 |
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 $691.83 Median $691.83 Typical High $1,122.02 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | 53 · Discontinued | $275.42 | $275.42 | $446.68 |
Where Colorado sits
The same service costs 4.3 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· 7th of 51
$2,455
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.