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 $3,235.94 Median $6,760.83 Typical High $15,135.61 | Facility | None | $3,235.94 | $6,760.83 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,467.37 | Professional | None | $2,454.71 | $2,454.71 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $9,772.37 Typical High $14,791.08 | Facility | None | $3,388.44 | $9,772.37 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $7,079.46 | Professional | None | $1,348.96 | $1,348.96 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,890.45 Typical High $10,232.93 | Facility | None | $1,905.46 | $3,890.45 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $4,677.35 | Professional | None | $1,513.56 | $1,737.80 | $4,677.35 |
Denver HMP Setting Facility Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,454.71 | $2,951.21 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $6,760.83 | Professional | None | $3,235.94 | $4,570.88 | $6,760.83 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $6,025.60 Typical High $6,760.83 | Facility | None | $3,235.94 | $6,025.60 | $6,760.83 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $4,897.79 | Professional | None | $2,290.87 | $3,235.94 | $4,897.79 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,348.96 | $2,398.83 |
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 $1,202.26 Median $1,230.27 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,202.26 | $1,230.27 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $691.83 | Professional | 53 · Discontinued | $489.78 | $489.78 | $691.83 |
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
$4,266
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.