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 $1,348.96 Median $2,818.38 Typical High $6,309.57 | Facility | None | $1,348.96 | $2,818.38 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,348.96 | Professional | None | $891.25 | $1,023.29 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $4,073.80 Typical High $6,165.95 | Facility | None | $1,412.54 | $4,073.80 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $933.25 Typical High $2,951.21 | Professional | None | $562.34 | $933.25 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,621.81 Typical High $4,265.80 | Facility | None | $724.44 | $1,621.81 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,949.84 | Professional | None | $630.96 | $1,000.00 | $1,949.84 |
Denver HMP Setting Facility Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,698.24 | Facility | None | $1,023.29 | $1,230.27 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,288.25 | $1,905.46 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,511.89 Typical High $2,818.38 | Facility | None | $1,348.96 | $2,511.89 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $2,041.74 | Professional | None | $954.99 | $1,348.96 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,000.00 | Professional | None | $562.34 | $562.34 | $1,000.00 |
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 $457.09 Median $512.86 Typical High $676.08 | Professional | 52 · Reduced service | $457.09 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $204.17 Typical High $269.15 | Professional | 53 · Discontinued | $181.97 | $204.17 | $269.15 |
Where Colorado sits
The same service costs 5.1 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· 20th of 51
$1,349
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.