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 $426.58 Median $977.24 Typical High $2,570.40 | Facility | None | $426.58 | $977.24 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $870.96 | Professional | None | $416.87 | $426.58 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,659.59 Typical High $2,570.40 | Facility | None | $588.84 | $1,659.59 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $1,230.27 | Professional | None | $234.42 | $234.42 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $1,778.28 | Facility | None | $323.59 | $676.08 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $812.83 | Professional | None | $257.04 | $302.00 | $812.83 |
Denver HMP Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $691.83 | Facility | None | $426.58 | $501.19 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,174.90 | Professional | None | $524.81 | $794.33 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,174.90 | Facility | None | $562.34 | $1,023.29 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $831.76 | Professional | None | $389.05 | $562.34 | $831.76 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | None | $234.42 | $234.42 | $407.38 |
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 $208.93 Median $213.80 Typical High $407.38 | Professional | 52 · Reduced service | $208.93 | $213.80 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $162.18 | Professional | 53 · Discontinued | $83.18 | $85.11 | $162.18 |
Where Colorado sits
The same service costs 4.6 times more in Kansas 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
$741
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.