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 $501.19 Median $1,047.13 Typical High $2,344.23 | Facility | None | $501.19 | $1,047.13 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $501.19 | Professional | None | $338.84 | $380.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,513.56 Typical High $2,290.87 | Facility | None | $537.03 | $1,513.56 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $1,122.02 | Professional | None | $213.80 | $346.74 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $602.56 Typical High $1,584.89 | Facility | None | $269.15 | $602.56 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $724.44 | Professional | None | $234.42 | $371.54 | $724.44 |
Denver HMP Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $630.96 | Facility | None | $380.19 | $457.09 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,202.26 | Professional | None | $478.63 | $707.95 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,047.13 | Facility | None | $501.19 | $933.25 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $758.58 | Professional | None | $354.81 | $501.19 | $758.58 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | None | $213.80 | $213.80 | $371.54 |
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 $177.83 Median $190.55 Typical High $251.19 | Professional | 52 · Reduced service | $177.83 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $100.00 | Professional | 53 · Discontinued | $70.79 | $75.86 | $100.00 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 22nd of 51
$501
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.