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 $676.08 Median $1,412.54 Typical High $3,090.30 | Facility | None | $676.08 | $1,412.54 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | None | $512.86 | $512.86 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,041.74 Typical High $3,090.30 | Facility | None | $707.95 | $2,041.74 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $1,479.11 | Professional | None | $281.84 | $281.84 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $812.83 Typical High $2,137.96 | Facility | None | $398.11 | $812.83 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $977.24 | Professional | None | $316.23 | $354.81 | $977.24 |
Denver HMP Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $891.25 | Facility | None | $512.86 | $602.56 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,548.82 | Professional | None | $676.08 | $954.99 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,412.54 | Facility | None | $676.08 | $1,258.93 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $1,023.29 | Professional | None | $478.63 | $676.08 | $1,023.29 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $501.19 | Professional | None | $281.84 | $295.12 | $501.19 |
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 $251.19 Median $257.04 Typical High $354.81 | Professional | 52 · Reduced service | $251.19 | $257.04 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 53 · Discontinued | $102.33 | $102.33 | $144.54 |
Where Colorado sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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
$891
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.