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 $7,585.78 Median $15,848.93 Typical High $35,481.34 | Facility | None | $7,585.78 | $15,848.93 | $35,481.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $4,786.30 Typical High $34,673.69 | Professional | None (both parts) | $2,691.53 | $4,786.30 | $34,673.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $22,908.68 Typical High $34,673.69 | Facility | None | $10,000.00 | $22,908.68 | $34,673.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $16,595.87 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $6,606.93 Typical High $23,988.33 | Facility | None | $4,466.84 | $6,606.93 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $9,332.54 | $10,964.78 | $10,964.78 |
Denver HMP Setting Facility Modifier None Typical Low $5,128.61 Median $5,754.40 Typical High $10,000.00 | Facility | None | $5,128.61 | $5,754.40 | $10,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7,585.78 Median $10,715.19 Typical High $15,488.17 | Professional | None | $7,585.78 | $10,715.19 | $15,488.17 |
Select Health Setting Facility Modifier None Typical Low $7,585.78 Median $14,125.38 Typical High $15,848.93 | Facility | None | $7,585.78 | $14,125.38 | $15,848.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $7,585.78 Typical High $11,481.54 | Professional | None (both parts) | $5,248.07 | $7,585.78 | $11,481.54 |
United Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $5,623.41 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $5,623.41 |
3 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 26 · Professional part Typical Low $5,623.41 Median $5,754.40 Typical High $7,585.78 | Professional | 26 · Professional part | $5,623.41 | $5,754.40 | $7,585.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,398.83 Median $2,884.03 Typical High $3,801.89 | Professional | 52 · Reduced service | $2,398.83 | $2,884.03 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,148.15 Typical High $1,513.56 | Professional | 53 · Discontinued | $954.99 | $1,148.15 | $1,513.56 |
Where Colorado sits
The same service costs 64.6 times more in Texas 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
$11,749
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.