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 $363.08 Median $758.58 Typical High $1,659.59 | Facility | None | $363.08 | $758.58 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $269.15 | $275.42 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $1,096.48 Typical High $1,659.59 | Facility | None | $478.63 | $1,096.48 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $199.53 | $199.53 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $1,148.15 | Facility | None | $190.55 | $251.19 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $446.68 | $524.81 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $501.19 | Facility | None | $275.42 | $323.59 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $741.31 | Professional | None | $363.08 | $501.19 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $758.58 | Facility | None | $363.08 | $676.08 | $758.58 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $251.19 | $363.08 | $537.03 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $151.36 | $151.36 | $269.15 |
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 $269.15 Median $275.42 Typical High $288.40 | Professional | 26 · Professional part | $269.15 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $134.90 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $75.86 | Professional | 53 · Discontinued | $53.70 | $54.95 | $75.86 |
Where Colorado sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 6th of 51
$447
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.