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 $933.25 Median $1,949.84 Typical High $4,365.16 | Facility | None | $933.25 | $1,949.84 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,148.15 | Professional | None | $660.69 | $707.95 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,000.00 | $2,818.38 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $2,089.30 | Professional | None | $389.05 | $645.65 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $2,951.21 | Facility | None | $501.19 | $1,122.02 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,348.96 | Professional | None | $436.52 | $691.83 | $1,348.96 |
Denver HMP Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,174.90 | Facility | None | $707.95 | $851.14 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,949.84 | Professional | None | $891.25 | $1,318.26 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $1,737.80 Typical High $1,949.84 | Facility | None | $933.25 | $1,737.80 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,412.54 | Professional | None | $660.69 | $933.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $691.83 | Professional | None | $389.05 | $389.05 | $691.83 |
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 $354.81 Median $354.81 Typical High $575.44 | Professional | 52 · Reduced service | $354.81 | $354.81 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $229.09 | Professional | 53 · Discontinued | $141.25 | $141.25 | $229.09 |
Where Colorado sits
The same service costs 3.7 times more in Alaska 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· 24th of 51
$933
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.