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 $588.84 Median $1,230.27 Typical High $2,691.53 | Facility | None | $588.84 | $1,230.27 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $616.60 | Professional | None | $407.38 | $446.68 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,737.80 Typical High $2,691.53 | Facility | None | $616.60 | $1,737.80 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $1,288.25 | Professional | None | $245.47 | $398.11 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $707.95 Typical High $1,862.09 | Facility | None | $338.84 | $707.95 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $870.96 | Professional | None | $302.00 | $398.11 | $870.96 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,047.13 | Facility | None | $446.68 | $562.34 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,412.54 | Professional | None | $549.54 | $831.76 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,230.27 | Facility | None | $588.84 | $1,071.52 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $870.96 | Professional | None | $407.38 | $588.84 | $870.96 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $436.52 | Professional | None | $245.47 | $338.84 | $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 $218.78 Median $223.87 Typical High $309.03 | Professional | 52 · Reduced service | $218.78 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $123.03 | Professional | 53 · Discontinued | $87.10 | $89.13 | $123.03 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 29th of 51
$589
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.