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 $1,202.26 Median $2,511.89 Typical High $5,495.41 | Facility | None | $1,202.26 | $2,511.89 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,174.90 | Professional | None | $794.33 | $912.01 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $707.95 | Facility | None | $338.84 | $398.11 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $1,412.54 Typical High $2,454.71 | Professional | None | $501.19 | $1,412.54 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $51.29 Typical High $1,737.80 | Facility | None | $19.95 | $51.29 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,318.26 | Professional | None | $478.63 | $660.69 | $1,318.26 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,819.70 | Facility | None | $912.01 | $1,258.93 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
United Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $891.25 | Facility | None | $741.31 | $776.25 | $891.25 |
United Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $977.24 | Professional | None | $436.52 | $562.34 | $977.24 |
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 $371.54 Median $446.68 Typical High $602.56 | Professional | 52 · Reduced service | $371.54 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $181.97 Typical High $245.47 | Professional | 53 · Discontinued | $147.91 | $181.97 | $245.47 |
Where Colorado sits
The same service costs 43.7 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· 28th of 51
$851
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.