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 $616.60 Median $1,288.25 Typical High $2,818.38 | Facility | None | $616.60 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $457.09 | $457.09 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,819.70 Typical High $2,754.23 | Facility | None | $812.83 | $1,819.70 | $2,754.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $1,348.96 | Professional | None (both parts) | $257.04 | $257.04 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $1,905.46 | Facility | None | $354.81 | $537.03 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $741.31 | $891.25 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $831.76 | Facility | None | $457.09 | $549.54 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,258.93 | Professional | None | $602.56 | $851.14 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,288.25 | Facility | None | $602.56 | $1,122.02 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $426.58 | $602.56 | $912.01 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $257.04 | $257.04 | $446.68 |
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 $457.09 Median $457.09 Typical High $489.78 | Professional | 26 · Professional part | $457.09 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $123.03 | Professional | 53 · Discontinued | $91.20 | $93.33 | $123.03 |
Where Colorado sits
The same service costs 47.9 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· 5th of 51
$832
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.