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 $1,202.26 Median $2,511.89 Typical High $5,495.41 | Facility | None | $1,202.26 | $2,511.89 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,258.93 | Professional | None | $891.25 | $912.01 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $3,630.78 Typical High $5,495.41 | Facility | None | $1,584.89 | $3,630.78 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $2,570.40 | Professional | None | $489.78 | $489.78 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $3,801.89 | Facility | None | $707.95 | $1,047.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,737.80 | Professional | None | $562.34 | $851.14 | $1,737.80 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,584.89 | Facility | None | $912.01 | $1,047.13 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,698.24 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $2,511.89 | Facility | None | $1,202.26 | $2,238.72 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,778.28 | Professional | None | $831.76 | $1,202.26 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $891.25 | Professional | None | $489.78 | $489.78 | $891.25 |
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 $446.68 Median $457.09 Typical High $630.96 | Professional | 52 · Reduced service | $446.68 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $181.97 Typical High $251.19 | Professional | 53 · Discontinued | $177.83 | $181.97 | $251.19 |
Where Colorado sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$1,585
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.