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 $4,168.69 Median $8,709.64 Typical High $19,498.45 | Facility | None | $4,168.69 | $8,709.64 | $19,498.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $4,168.69 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $12,589.25 Typical High $19,054.61 | Facility | None | $5,623.41 | $12,589.25 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $18,620.87 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $13,182.57 | Facility | None | $2,238.72 | $2,951.21 | $13,182.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $6,025.60 Typical High $6,025.60 | Professional | None (both parts) | $5,128.61 | $6,025.60 | $6,025.60 |
Denver HMP Setting Facility Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $5,888.44 | Facility | None | $3,162.28 | $3,801.89 | $5,888.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,168.69 Median $5,888.44 Typical High $8,709.64 | Professional | None | $4,168.69 | $5,888.44 | $8,709.64 |
Select Health Setting Facility Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $8,709.64 | Facility | None | $4,168.69 | $7,762.47 | $8,709.64 |
Select Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $4,168.69 Typical High $6,309.57 | Professional | None (both parts) | $2,951.21 | $4,168.69 | $6,309.57 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $3,090.30 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $3,090.30 |
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 $3,162.28 Median $3,162.28 Typical High $3,311.31 | Professional | 26 · Professional part | $3,162.28 | $3,162.28 | $3,311.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | 53 · Discontinued | $630.96 | $630.96 | $831.76 |
Where Colorado sits
The same service costs 67.6 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· 3rd of 51
$7,413
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.