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 $912.01 Median $1,905.46 Typical High $4,265.80 | Facility | None | $912.01 | $1,905.46 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None | $691.83 | $691.83 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $2,754.23 Typical High $4,168.69 | Facility | None | $1,202.26 | $2,754.23 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $2,041.74 | Professional | None | $380.19 | $630.96 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,096.48 Typical High $2,884.03 | Facility | None | $489.78 | $1,096.48 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $1,318.26 | Professional | None | $426.58 | $676.08 | $1,318.26 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $1,148.15 | Facility | None | $691.83 | $831.76 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,187.76 | Professional | None | $870.96 | $1,288.25 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $1,905.46 | Facility | None | $912.01 | $1,698.24 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,380.38 | Professional | None | $645.65 | $912.01 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $676.08 | Professional | None | $380.19 | $380.19 | $676.08 |
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 $338.84 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $338.84 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $181.97 | Professional | 53 · Discontinued | $134.90 | $138.04 | $181.97 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 17th of 51
$912
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.