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 $1,479.11 Median $3,090.30 Typical High $6,918.31 | Facility | None | $1,479.11 | $3,090.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,122.02 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $4,466.84 Typical High $6,760.83 | Facility | None | $1,584.89 | $4,466.84 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $3,090.30 | Professional | None | $630.96 | $1,023.29 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $4,677.35 | Facility | None | $794.33 | $1,778.28 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $2,137.96 | Professional | None | $691.83 | $1,096.48 | $2,137.96 |
Denver HMP Setting Facility Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,348.96 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $4,365.16 | Professional | None | $1,202.26 | $2,137.96 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $3,090.30 | Facility | None | $1,479.11 | $2,754.23 | $3,090.30 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,047.13 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,096.48 | Professional | None | $630.96 | $630.96 | $1,096.48 |
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 $524.81 Median $562.34 Typical High $741.31 | Professional | 52 · Reduced service | $524.81 | $562.34 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $295.12 | Professional | 53 · Discontinued | $208.93 | $223.87 | $295.12 |
Where Colorado sits
The same service costs 5.6 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· 12th of 51
$1,479
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.