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 $2,454.71 Median $5,128.61 Typical High $11,220.18 | Facility | None | $2,454.71 | $5,128.61 | $11,220.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,862.09 Typical High $2,454.71 | Professional | None (both parts) | $1,819.70 | $1,862.09 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $7,413.10 Typical High $11,220.18 | Facility | None | $3,235.94 | $7,413.10 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $5,370.32 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $7,762.47 | Facility | None | $1,445.44 | $2,137.96 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $3,019.95 | $3,548.13 | $3,548.13 |
Denver HMP Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $3,388.44 | Facility | None | $1,862.09 | $2,187.76 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,467.37 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $4,570.88 Typical High $5,128.61 | Facility | None | $2,454.71 | $4,570.88 | $5,128.61 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,454.71 Typical High $3,715.35 | Professional | None (both parts) | $1,698.24 | $2,454.71 | $3,715.35 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,819.70 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,819.70 |
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 $1,819.70 Median $1,862.09 Typical High $1,949.84 | Professional | 26 · Professional part | $1,819.70 | $1,862.09 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $933.25 Typical High $1,230.27 | Professional | 52 · Reduced service | $912.01 | $933.25 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $371.54 Typical High $489.78 | Professional | 53 · Discontinued | $363.08 | $371.54 | $489.78 |
Where Colorado sits
The same service costs 8.9 times more in Alaska than in Ohio. 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
$3,388
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.