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 $5,495.41 Median $11,481.54 Typical High $25,118.86 | Facility | None | $5,495.41 | $11,481.54 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,168.69 Typical High $5,754.40 | Professional | None | $4,073.80 | $4,168.69 | $5,754.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $16,218.10 Typical High $24,547.09 | Facility | None | $5,754.40 | $16,218.10 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $12,302.69 | Professional | None | $2,344.23 | $2,344.23 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $17,378.01 | Facility | None | $3,162.28 | $4,786.30 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $7,943.28 | Professional | None | $2,511.89 | $2,884.03 | $7,943.28 |
Denver HMP Setting Facility Modifier None Typical Low $4,168.69 Median $5,011.87 Typical High $7,244.36 | Facility | None | $4,168.69 | $5,011.87 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,370.32 Median $7,762.47 Typical High $12,882.50 | Professional | None | $5,370.32 | $7,762.47 | $12,882.50 |
Select Health Setting Facility Modifier None Typical Low $5,370.32 Median $10,000.00 Typical High $11,481.54 | Facility | None | $5,370.32 | $10,000.00 | $11,481.54 |
Select Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,370.32 Typical High $8,128.31 | Professional | None | $3,801.89 | $5,370.32 | $8,128.31 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,073.80 | Professional | None | $2,290.87 | $2,290.87 | $4,073.80 |
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 $2,041.74 Median $2,089.30 Typical High $2,884.03 | Professional | 52 · Reduced service | $2,041.74 | $2,089.30 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $831.76 Typical High $1,148.15 | Professional | 53 · Discontinued | $812.83 | $831.76 | $1,148.15 |
Where Colorado sits
The same service costs 6.2 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
$7,244
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.