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 $1,318.26 Median $2,754.23 Typical High $6,025.60 | Facility | None | $1,318.26 | $2,754.23 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,148.15 | Professional | None | $467.74 | $1,000.00 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,801.89 Typical High $6,025.60 | Facility | None | $1,318.26 | $3,801.89 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $1,318.26 | Professional | None | $245.47 | $354.81 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $4,073.80 | Facility | None | $691.83 | $851.14 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $1,548.82 | Professional | None | $302.00 | $426.58 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,584.89 | Facility | None | $588.84 | $1,000.00 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,778.28 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,398.83 Typical High $2,754.23 | Facility | None | $1,318.26 | $2,398.83 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $1,318.26 Typical High $1,949.84 | Professional | None | $407.38 | $1,318.26 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $588.84 | Professional | None | $245.47 | $331.13 | $588.84 |
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 $234.42 Median $501.19 Typical High $575.44 | Professional | 52 · Reduced service | $234.42 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $199.53 Typical High $229.09 | Professional | 53 · Discontinued | $93.33 | $199.53 | $229.09 |
Where Colorado sits
The same service costs 4.0 times more in Wisconsin 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· 7th of 51
$1,202
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.