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 $2,951.21 Median $6,165.95 Typical High $13,489.63 | Facility | None | $2,951.21 | $6,165.95 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,238.72 Typical High $2,951.21 | Professional | None (both parts) | $2,187.76 | $2,238.72 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,709.64 Typical High $13,489.63 | Facility | None | $3,890.45 | $8,709.64 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $6,456.54 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,698.24 | $2,570.40 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $4,265.80 Typical High $4,265.80 | Professional | None (both parts) | $3,548.13 | $4,265.80 | $4,265.80 |
Denver HMP Setting Facility Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,981.07 | Facility | None | $2,238.72 | $2,630.27 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $4,073.80 Typical High $6,025.60 | Professional | None | $2,951.21 | $4,073.80 | $6,025.60 |
Select Health Setting Facility Modifier None Typical Low $2,951.21 Median $5,370.32 Typical High $6,165.95 | Facility | None | $2,951.21 | $5,370.32 | $6,165.95 |
Select Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,951.21 Typical High $4,365.16 | Professional | None (both parts) | $2,041.74 | $2,951.21 | $4,365.16 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,137.96 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,137.96 |
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 $2,187.76 Median $2,238.72 Typical High $2,344.23 | Professional | 26 · Professional part | $2,187.76 | $2,238.72 | $2,344.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,122.02 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,096.48 | $1,122.02 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $446.68 Typical High $588.84 | Professional | 53 · Discontinued | $436.52 | $446.68 | $588.84 |
Where Colorado sits
The same service costs 30.9 times more in Texas 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
$3,981
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.