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 $2,137.96 Median $4,466.84 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,466.84 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $3,235.94 | Professional | None | $1,412.54 | $1,621.81 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $6,456.54 Typical High $9,772.37 | Facility | None | $2,290.87 | $6,456.54 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $4,786.30 | Professional | None | $891.25 | $1,479.11 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,570.40 Typical High $6,760.83 | Facility | None | $1,148.15 | $2,570.40 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,000.00 | $1,584.89 | $3,090.30 |
Denver HMP Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,630.27 | Facility | None | $1,621.81 | $1,778.28 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $4,466.84 | Professional | None | $2,041.74 | $3,019.95 | $4,466.84 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $3,981.07 Typical High $4,466.84 | Facility | None | $2,137.96 | $3,981.07 | $4,466.84 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,513.56 | $2,137.96 | $3,235.94 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $251.19 Median $891.25 Typical High $1,288.25 | Professional | None | $251.19 | $891.25 | $1,288.25 |
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 $724.44 Median $812.83 Typical High $1,071.52 | Professional | 52 · Reduced service | $724.44 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $323.59 Typical High $426.58 | Professional | 53 · Discontinued | $288.40 | $323.59 | $426.58 |
Where Colorado sits
The same service costs 6.0 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· 18th of 51
$2,138
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.