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 $602.56 Median $1,258.93 Typical High $2,754.23 | Facility | None | $602.56 | $1,258.93 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $891.25 | Professional | None | $446.68 | $457.09 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $2,754.23 | Facility | None | $630.96 | $1,819.70 | $2,754.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $1,318.26 | Professional | None | $251.19 | $251.19 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $1,905.46 | Facility | None | $354.81 | $724.44 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $870.96 | Professional | None | $281.84 | $316.23 | $870.96 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $741.31 | Facility | None | $457.09 | $537.03 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,258.93 | Professional | None | $602.56 | $851.14 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,258.93 | Facility | None | $602.56 | $1,122.02 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $891.25 | Professional | None | $416.87 | $602.56 | $891.25 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $446.68 | Professional | None | $251.19 | $251.19 | $446.68 |
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 $223.87 Median $229.09 Typical High $316.23 | Professional | 52 · Reduced service | $223.87 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $91.20 Typical High $125.89 | Professional | 53 · Discontinued | $89.13 | $91.20 | $125.89 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$794
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.