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 $1,949.84 Median $4,073.80 Typical High $9,120.11 | Facility | None | $1,949.84 | $4,073.80 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,479.11 Typical High $8,912.51 | Professional | None (both parts) | $1,096.48 | $1,479.11 | $8,912.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $5,888.44 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,888.44 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $3,890.45 | Professional | None (both parts) | $741.31 | $741.31 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $6,165.95 | Facility | None | $1,148.15 | $1,698.24 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $2,398.83 | $2,818.38 | $2,818.38 |
Denver HMP Setting Facility Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $2,398.83 | Facility | None | $1,479.11 | $1,584.89 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $3,981.07 | Professional | None | $1,949.84 | $2,754.23 | $3,981.07 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $4,073.80 | Facility | None | $1,949.84 | $3,630.78 | $4,073.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,949.84 Typical High $2,951.21 | Professional | None (both parts) | $1,380.38 | $1,949.84 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,445.44 | Professional | None (both parts) | $741.31 | $741.31 | $1,445.44 |
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 $1,479.11 Median $1,479.11 Typical High $1,548.82 | Professional | 26 · Professional part | $1,479.11 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $741.31 Typical High $977.24 | Professional | 52 · Reduced service | $691.83 | $741.31 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $295.12 Typical High $389.05 | Professional | 53 · Discontinued | $275.42 | $295.12 | $389.05 |
Where Colorado sits
The same service costs 154.9 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
$2,818
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.