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 $2,884.03 Median $6,025.60 Typical High $13,182.57 | Facility | None | $2,884.03 | $6,025.60 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,187.76 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $8,709.64 Typical High $13,182.57 | Facility | None | $3,019.95 | $8,709.64 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $6,309.57 | Professional | None | $1,202.26 | $1,202.26 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,467.37 Typical High $9,120.11 | Facility | None | $1,698.24 | $3,467.37 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $4,168.69 | Professional | None | $1,348.96 | $1,548.82 | $4,168.69 |
Denver HMP Setting Facility Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,570.40 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $6,025.60 | Professional | None | $2,884.03 | $4,073.80 | $6,025.60 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $5,370.32 Typical High $6,025.60 | Facility | None | $2,884.03 | $5,370.32 | $6,025.60 |
Select Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $4,265.80 | Professional | None | $1,995.26 | $2,884.03 | $4,265.80 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $2,137.96 | Professional | None | $891.25 | $1,202.26 | $2,137.96 |
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 $1,000.00 Median $1,096.48 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,000.00 | $1,096.48 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $436.52 Typical High $602.56 | Professional | 53 · Discontinued | $398.11 | $436.52 | $602.56 |
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· 4th of 51
$3,802
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.