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 $3,090.30 Median $6,606.93 Typical High $14,454.40 | Facility | None | $3,090.30 | $6,606.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,344.23 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $9,332.54 Typical High $14,125.38 | Facility | None | $3,311.31 | $9,332.54 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $6,918.31 | Professional | None | $1,318.26 | $1,318.26 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $3,801.89 Typical High $9,772.37 | Facility | None | $1,819.70 | $3,801.89 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $4,570.88 | Professional | None | $1,445.44 | $1,659.59 | $4,570.88 |
Denver HMP Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,890.45 | Facility | None | $2,344.23 | $2,818.38 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $4,466.84 Typical High $6,606.93 | Professional | None | $3,090.30 | $4,466.84 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $6,606.93 | Facility | None | $3,090.30 | $5,754.40 | $6,606.93 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $4,677.35 | Professional | None | $2,187.76 | $3,090.30 | $4,677.35 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,290.87 | Professional | None | $1,318.26 | $1,318.26 | $2,290.87 |
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 $1,096.48 Median $1,174.90 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,096.48 | $1,174.90 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $660.69 | Professional | 53 · Discontinued | $436.52 | $478.63 | $660.69 |
Where Colorado sits
The same service costs 6.0 times more in Texas 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
$4,169
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.