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 $316.23 Median $724.44 Typical High $1,445.44 | Facility | None | $316.23 | $724.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $575.44 | Professional | None | $316.23 | $316.23 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $1,258.93 Typical High $1,905.46 | Facility | None | $436.52 | $1,258.93 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $912.01 | Professional | None | $416.87 | $416.87 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $1,318.26 | Facility | None | $245.47 | $501.19 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $630.96 | Professional | None | $213.80 | $269.15 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $316.23 Median $407.38 Typical High $741.31 | Facility | None | $316.23 | $407.38 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $870.96 | Professional | None | $416.87 | $588.84 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $776.25 Typical High $870.96 | Facility | None | $416.87 | $776.25 | $870.96 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $630.96 | Professional | None | $295.12 | $416.87 | $630.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $309.03 | Professional | None | $173.78 | $239.88 | $309.03 |
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 $154.88 Median $158.49 Typical High $218.78 | Professional | 52 · Reduced service | $154.88 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $89.13 | Professional | 53 · Discontinued | $63.10 | $63.10 | $89.13 |
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· 9th of 51
$537
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.