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 $512.86 Median $1,071.52 Typical High $2,398.83 | Facility | None | $512.86 | $1,071.52 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $2,344.23 | Professional | None (both parts) | $354.81 | $416.87 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $2,344.23 | Facility | None | $676.08 | $1,513.56 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $346.74 Typical High $1,047.13 | Professional | None (both parts) | $213.80 | $346.74 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $1,621.81 | Facility | None | $295.12 | $446.68 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $616.60 Typical High $741.31 | Professional | None (both parts) | $346.74 | $616.60 | $741.31 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $676.08 | Facility | None | $389.05 | $457.09 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $724.44 Typical High $1,071.52 | Professional | None | $407.38 | $724.44 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $933.25 Typical High $1,071.52 | Facility | None | $512.86 | $933.25 | $1,071.52 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $354.81 | $354.81 | $512.86 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $213.80 | $213.80 | $380.19 |
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 $380.19 Median $389.05 Typical High $478.63 | Professional | 26 · Professional part | $380.19 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $194.98 Typical High $257.04 | Professional | 52 · Reduced service | $190.55 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $102.33 | Professional | 53 · Discontinued | $75.86 | $77.62 | $102.33 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Mississippi. 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· 8th of 51
$617
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.