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 $794.33 Median $1,659.59 Typical High $3,715.35 | Facility | None | $794.33 | $1,659.59 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $831.76 | Professional | None | $588.84 | $602.56 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $2,398.83 Typical High $3,630.78 | Facility | None | $831.76 | $2,398.83 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $1,737.80 | Professional | None | $331.13 | $549.54 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $562.34 Typical High $2,511.89 | Facility | None | $426.58 | $562.34 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $1,148.15 | Professional | None | $371.54 | $588.84 | $1,148.15 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,000.00 | Facility | None | $602.56 | $724.44 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,621.81 | Professional | None | $758.58 | $1,122.02 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $1,659.59 | Facility | None | $794.33 | $1,479.11 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,202.26 | Professional | None | $562.34 | $794.33 | $1,202.26 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None | $331.13 | $331.13 | $630.96 |
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 $295.12 Median $302.00 Typical High $416.87 | Professional | 52 · Reduced service | $295.12 | $302.00 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $165.96 | Professional | 53 · Discontinued | $117.49 | $120.23 | $165.96 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 18th of 51
$794
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.