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 $4,786.30 Median $10,000.00 Typical High $21,877.62 | Facility | None | $4,786.30 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $4,786.30 | Professional | None | $3,090.30 | $3,630.78 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $14,454.40 Typical High $21,877.62 | Facility | None | $5,011.87 | $14,454.40 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $10,471.29 | Professional | None | $1,995.26 | $3,311.31 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $5,754.40 Typical High $15,135.61 | Facility | None | $2,570.40 | $5,754.40 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,918.31 | Professional | None | $2,238.72 | $3,548.13 | $6,918.31 |
Denver HMP Setting Facility Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $6,025.60 | Facility | None | $3,630.78 | $4,265.80 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $11,481.54 | Professional | None | $4,570.88 | $6,760.83 | $11,481.54 |
Select Health Setting Facility Modifier None Typical Low $4,786.30 Median $8,912.51 Typical High $10,000.00 | Facility | None | $4,786.30 | $8,912.51 | $10,000.00 |
Select Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,786.30 Typical High $7,244.36 | Professional | None | $3,311.31 | $4,786.30 | $7,244.36 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,995.26 | $1,995.26 | $3,548.13 |
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 $1,584.89 Median $1,819.70 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,584.89 | $1,819.70 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $724.44 Typical High $954.99 | Professional | 53 · Discontinued | $645.65 | $724.44 | $954.99 |
Where Colorado sits
The same service costs 10.7 times more in Alaska than in Kentucky. 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· 15th of 51
$4,786
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.