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 $3,630.78 Median $7,585.78 Typical High $16,595.87 | Facility | None | $3,630.78 | $7,585.78 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,691.53 | $2,754.23 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $10,715.19 Typical High $16,595.87 | Facility | None | $3,801.89 | $10,715.19 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $7,943.28 | Professional | None | $1,513.56 | $1,513.56 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $11,481.54 | Facility | None | $2,089.30 | $3,162.28 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $5,248.07 | Professional | None | $1,659.59 | $1,905.46 | $5,248.07 |
Denver HMP Setting Facility Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $4,786.30 | Facility | None | $2,754.23 | $3,235.94 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $5,128.61 Typical High $8,709.64 | Professional | None | $3,630.78 | $5,128.61 | $8,709.64 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $6,606.93 Typical High $7,585.78 | Facility | None | $3,630.78 | $6,606.93 | $7,585.78 |
Select Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $5,370.32 | Professional | None | $2,511.89 | $3,630.78 | $5,370.32 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,513.56 | $1,513.56 | $2,691.53 |
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 $1,348.96 Median $1,380.38 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,348.96 | $1,380.38 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $549.54 Typical High $758.58 | Professional | 53 · Discontinued | $537.03 | $549.54 | $758.58 |
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
$4,786
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.