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 $3,890.45 Median $8,128.31 Typical High $17,782.79 | Facility | None | $3,890.45 | $8,128.31 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,818.38 | $2,951.21 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $11,748.98 Typical High $17,782.79 | Facility | None | $4,073.80 | $11,748.98 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $8,511.38 | Professional | None | $1,621.81 | $1,621.81 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $4,677.35 Typical High $12,302.69 | Facility | None | $2,290.87 | $4,677.35 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $5,623.41 | Professional | None | $1,819.70 | $2,089.30 | $5,623.41 |
Denver HMP Setting Facility Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $4,466.84 | Facility | None | $2,951.21 | $3,467.37 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,890.45 Median $5,370.32 Typical High $8,128.31 | Professional | None | $3,890.45 | $5,370.32 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $8,128.31 | Facility | None | $3,890.45 | $7,244.36 | $8,128.31 |
Select Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $5,754.40 | Professional | None | $2,691.53 | $3,890.45 | $5,754.40 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,621.81 | $2,884.03 |
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 $1,412.54 Median $1,479.11 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,412.54 | $1,479.11 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $588.84 Typical High $812.83 | Professional | 53 · Discontinued | $575.44 | $588.84 | $812.83 |
Where Colorado sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$5,129
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.