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 $1,288.25 Median $2,691.53 Typical High $5,888.44 | Facility | None | $1,288.25 | $2,691.53 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,584.89 | Professional | None | $891.25 | $977.24 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $5,888.44 | Facility | None | $1,348.96 | $3,890.45 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $2,818.38 | Professional | None | $537.03 | $891.25 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,548.82 Typical High $4,073.80 | Facility | None | $691.83 | $1,548.82 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $954.99 Typical High $1,862.09 | Professional | None | $602.56 | $954.99 | $1,862.09 |
Denver HMP Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,621.81 | Facility | None | $977.24 | $1,148.15 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,819.70 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,398.83 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,949.84 | Professional | None | $891.25 | $1,288.25 | $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 $537.03 Median $537.03 Typical High $954.99 | Professional | None | $537.03 | $537.03 | $954.99 |
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 $478.63 Median $489.78 Typical High $794.33 | Professional | 52 · Reduced service | $478.63 | $489.78 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $316.23 | Professional | 53 · Discontinued | $194.98 | $194.98 | $316.23 |
Where Colorado sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 19th of 51
$1,288
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.