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 $891.25 Median $1,905.46 Typical High $4,168.69 | Facility | None | $891.25 | $1,905.46 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,258.93 | Professional | None | $467.74 | $676.08 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,691.53 Typical High $4,073.80 | Facility | None | $954.99 | $2,691.53 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $1,995.26 | Professional | None | $380.19 | $588.84 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,096.48 Typical High $2,818.38 | Facility | None | $478.63 | $1,096.48 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $1,288.25 | Professional | None | $416.87 | $660.69 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $1,122.02 | Facility | None | $676.08 | $812.83 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $1,862.09 | Professional | None | $851.14 | $1,288.25 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $1,905.46 | Facility | None | $891.25 | $1,659.59 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,348.96 | Professional | None | $630.96 | $891.25 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | None | $380.19 | $380.19 | $660.69 |
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 $302.00 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $302.00 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $120.23 | $134.90 | $177.83 |
Where Colorado sits
The same service costs 5.6 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· 17th of 51
$891
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.