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 $524.81 Median $1,096.48 Typical High $2,398.83 | Facility | None | $524.81 | $1,096.48 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $549.54 | Professional | None | $389.05 | $398.11 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $2,398.83 | Facility | None | $549.54 | $1,548.82 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,148.15 | Professional | None | $218.78 | $218.78 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $1,659.59 | Facility | None | $302.00 | $457.09 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $758.58 | Professional | None | $239.88 | $275.42 | $758.58 |
Denver HMP Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $645.65 | Facility | None | $398.11 | $467.74 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,318.26 | Professional | None | $524.81 | $741.31 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $1,096.48 | Facility | None | $524.81 | $954.99 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $776.25 | Professional | None | $363.08 | $524.81 | $776.25 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | None | $218.78 | $218.78 | $389.05 |
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 $194.98 Median $199.53 Typical High $275.42 | Professional | 52 · Reduced service | $194.98 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $109.65 | Professional | 53 · Discontinued | $77.62 | $79.43 | $109.65 |
Where Colorado sits
The same service costs 8.1 times more in Texas 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· 5th of 51
$692
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.