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 $467.74 Median $977.24 Typical High $2,137.96 | Facility | None | $467.74 | $977.24 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $501.19 | Professional | None | $354.81 | $354.81 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $2,137.96 | Facility | None | $489.78 | $1,412.54 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $1,023.29 | Professional | None | $194.98 | $194.98 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $602.56 Typical High $1,479.11 | Facility | None | $275.42 | $602.56 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $676.08 | Professional | None | $208.93 | $239.88 | $676.08 |
Denver HMP Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $588.84 | Facility | None | $354.81 | $416.87 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $1,202.26 | Professional | None | $467.74 | $660.69 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $977.24 | Facility | None | $467.74 | $870.96 | $977.24 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $707.95 | Professional | None | $331.13 | $467.74 | $707.95 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $346.74 | Professional | None | $194.98 | $194.98 | $346.74 |
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 $173.78 Median $177.83 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $70.79 | $70.79 | $100.00 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$617
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.