How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $478.63 | Professional | None | $436.52 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,023.29 | Professional | None | $478.63 | $645.65 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $5,248.07 Typical High $34,673.69 | Facility | None | $1,513.56 | $5,248.07 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $851.14 | Professional | None | $512.86 | $676.08 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $707.95 | Facility | None | $478.63 | $602.56 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,047.13 | Professional | None | $537.03 | $660.69 | $1,047.13 |
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 $218.78 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $95.50 | $95.50 |
Where Colorado sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 17th of 51
$646
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.