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 $912.01 Median $1,905.46 Typical High $4,168.69 | Facility | None | $912.01 | $1,905.46 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $691.83 Typical High $1,348.96 | Professional | None | $323.59 | $691.83 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,691.53 Typical High $4,168.69 | Facility | None | $954.99 | $2,691.53 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,995.26 | Professional | None | $380.19 | $380.19 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $2,818.38 | Facility | None | $524.81 | $1,096.48 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $1,318.26 | Professional | None | $416.87 | $478.63 | $1,318.26 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $1,122.02 | Facility | None | $691.83 | $812.83 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,290.87 | Professional | None | $891.25 | $1,288.25 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $1,905.46 | Facility | None | $891.25 | $1,659.59 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,348.96 | Professional | None | $630.96 | $891.25 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | None | $380.19 | $380.19 | $660.69 |
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 $316.23 Median $338.84 Typical High $478.63 | Professional | 52 · Reduced service | $316.23 | $338.84 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $138.04 Typical High $190.55 | Professional | 53 · Discontinued | $125.89 | $138.04 | $190.55 |
Where Colorado sits
The same service costs 5.1 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· 5th of 51
$1,202
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.