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 $851.14 Median $1,778.28 Typical High $3,890.45 | Facility | None | $851.14 | $1,778.28 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $831.76 | Professional | None | $537.03 | $645.65 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $2,511.89 Typical High $3,890.45 | Facility | None | $891.25 | $2,511.89 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $1,862.09 | Professional | None | $354.81 | $549.54 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,023.29 Typical High $2,630.27 | Facility | None | $446.68 | $1,023.29 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $1,230.27 | Professional | None | $389.05 | $616.60 | $1,230.27 |
Denver HMP Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $1,023.29 | Facility | None | $645.65 | $741.31 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $1,737.80 | Professional | None | $794.33 | $1,202.26 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $1,778.28 | Facility | None | $831.76 | $1,548.82 | $1,778.28 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,258.93 | Professional | None | $588.84 | $831.76 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $588.84 | Professional | None | $245.47 | $354.81 | $588.84 |
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 $281.84 Median $316.23 Typical High $416.87 | Professional | 52 · Reduced service | $281.84 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $128.82 Typical High $169.82 | Professional | 53 · Discontinued | $112.20 | $128.82 | $169.82 |
Where Colorado sits
The same service costs 5.4 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· 15th of 51
$832
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.