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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | None | $218.78 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $512.86 | Professional | None | $239.88 | $323.59 | $512.86 |
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 $257.04 Median $338.84 Typical High $426.58 | Professional | None | $257.04 | $338.84 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $346.74 | Facility | None | $234.42 | $302.00 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $524.81 | Professional | None | $269.15 | $331.13 | $524.81 |
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 $107.15 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $107.15 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $47.86 | $47.86 |
Where Colorado sits
The same service costs 67.6 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
$324
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.