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 $758.58 Median $1,584.89 Typical High $3,548.13 | Facility | None | $758.58 | $1,584.89 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $812.83 | Professional | None | $537.03 | $575.44 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,290.87 Typical High $3,467.37 | Facility | None | $794.33 | $2,290.87 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,698.24 | Professional | None | $316.23 | $316.23 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $2,398.83 | Facility | None | $446.68 | $912.01 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $1,096.48 | Professional | None | $269.15 | $389.05 | $1,096.48 |
Denver HMP Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $831.76 | Facility | None | $575.44 | $691.83 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,584.89 | Professional | None | $758.58 | $1,071.52 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $1,584.89 | Facility | None | $758.58 | $1,412.54 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,148.15 | Professional | None | $537.03 | $758.58 | $1,148.15 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $562.34 | Professional | None | $251.19 | $316.23 | $562.34 |
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 $269.15 Median $288.40 Typical High $407.38 | Professional | 52 · Reduced service | $269.15 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $114.82 Typical High $162.18 | Professional | 53 · Discontinued | $107.15 | $114.82 | $162.18 |
Where Colorado sits
The same service costs 4.3 times more in Texas than in Oklahoma. 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· 6th of 51
$977
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.