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 $3,801.89 Median $7,943.28 Typical High $17,378.01 | Facility | None | $3,801.89 | $7,943.28 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,630.27 | $2,818.38 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $11,220.18 Typical High $16,982.44 | Facility | None | $3,981.07 | $11,220.18 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $8,317.64 | Professional | None | $1,584.89 | $1,584.89 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $11,748.98 | Facility | None | $2,187.76 | $4,570.88 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $5,495.41 | Professional | None | $1,737.80 | $1,995.26 | $5,495.41 |
Denver HMP Setting Facility Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $4,073.80 | Facility | None | $2,818.38 | $3,388.44 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $9,549.93 | Professional | None | $3,715.35 | $5,370.32 | $9,549.93 |
Select Health Setting Facility Modifier None Typical Low $3,715.35 Median $6,918.31 Typical High $7,943.28 | Facility | None | $3,715.35 | $6,918.31 | $7,943.28 |
Select Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $5,623.41 | Professional | None | $2,630.27 | $3,715.35 | $5,623.41 |
United Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,230.27 | $1,584.89 | $2,754.23 |
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 $1,318.26 Median $1,412.54 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,318.26 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $575.44 Typical High $794.33 | Professional | 53 · Discontinued | $524.81 | $575.44 | $794.33 |
Where Colorado sits
The same service costs 6.5 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
$5,012
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.