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 $776.25 Median $1,621.81 Typical High $3,548.13 | Facility | None | $776.25 | $1,621.81 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $588.84 Typical High $776.25 | Professional | None (both parts) | $575.44 | $588.84 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $2,290.87 Typical High $3,548.13 | Facility | None | $1,023.29 | $2,290.87 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $1,584.89 | Professional | None (both parts) | $323.59 | $537.03 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $2,454.71 | Facility | None | $446.68 | $676.08 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $933.25 Typical High $1,122.02 | Professional | None (both parts) | $524.81 | $933.25 | $1,122.02 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $1,023.29 | Facility | None | $588.84 | $691.83 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,621.81 | Professional | None | $616.60 | $1,096.48 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $1,621.81 | Facility | None | $776.25 | $1,412.54 | $1,621.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $537.03 | $537.03 | $776.25 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $323.59 | $323.59 | $575.44 |
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 $575.44 Median $588.84 Typical High $724.44 | Professional | 26 · Professional part | $575.44 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $295.12 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $295.12 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $154.88 | Professional | 53 · Discontinued | $114.82 | $117.49 | $154.88 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in New Mexico. 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· 6th of 51
$933
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.