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 $457.09 Median $954.99 Typical High $2,089.30 | Facility | None | $457.09 | $954.99 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $478.63 | Professional | None | $316.23 | $338.84 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $1,348.96 Typical High $2,041.74 | Facility | None | $478.63 | $1,348.96 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $1,000.00 | Professional | None | $190.55 | $190.55 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $549.54 Typical High $1,412.54 | Facility | None | $263.03 | $549.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $660.69 | Professional | None | $208.93 | $239.88 | $660.69 |
Denver HMP Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $562.34 | Facility | None | $338.84 | $407.38 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $1,148.15 | Professional | None | $446.68 | $645.65 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $831.76 Typical High $954.99 | Facility | None | $446.68 | $831.76 | $954.99 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $676.08 | Professional | None | $316.23 | $446.68 | $676.08 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $331.13 | Professional | None | $190.55 | $190.55 | $331.13 |
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 $158.49 Median $169.82 Typical High $239.88 | Professional | 52 · Reduced service | $158.49 | $169.82 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $95.50 | Professional | 53 · Discontinued | $63.10 | $69.18 | $95.50 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 5th of 51
$603
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.