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 $354.81 Median $1,000.00 Typical High $1,023.29 | Professional | None | $354.81 | $1,000.00 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $6,025.60 | Facility | None | $1,000.00 | $3,801.89 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $1,318.26 | Professional | None | $186.21 | $269.15 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $4,073.80 | Facility | None | $524.81 | $851.14 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $1,548.82 | Professional | None | $229.09 | $436.52 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $436.52 Median $1,000.00 Typical High $1,584.89 | Facility | None | $436.52 | $1,000.00 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,778.28 | $2,398.83 |
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 $309.03 Median $1,318.26 Typical High $1,949.84 | Professional | None | $309.03 | $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 $186.21 Median $251.19 Typical High $436.52 | Professional | None | $186.21 | $251.19 | $436.52 |
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 $173.78 Median $501.19 Typical High $512.86 | Professional | 52 · Reduced service | $173.78 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $199.53 Typical High $204.17 | Professional | 53 · Discontinued | $70.79 | $199.53 | $204.17 |
Where Colorado sits
The same service costs 5.2 times more in North Dakota 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· 8th of 51
$1,000
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.