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 $2,089.30 Median $4,365.16 Typical High $9,772.37 | Facility | None | $2,089.30 | $4,365.16 | $9,772.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,584.89 Typical High $2,089.30 | Professional | None (both parts) | $1,548.82 | $1,584.89 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $6,165.95 Typical High $9,549.93 | Facility | None | $2,754.23 | $6,165.95 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $63.10 Typical High $1,513.56 | Professional | None (both parts) | $12.88 | $63.10 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $6,606.93 | Facility | None | $1,096.48 | $1,445.44 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,951.21 Typical High $3,019.95 | Professional | None (both parts) | $2,398.83 | $2,951.21 | $3,019.95 |
Denver HMP Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,884.03 | Facility | None | $1,584.89 | $1,862.09 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,659.59 | $2,691.53 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,801.89 Typical High $4,365.16 | Facility | None | $2,089.30 | $3,801.89 | $4,365.16 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $2,089.30 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $870.96 | $1,548.82 |
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 $1,584.89 Median $1,584.89 Typical High $1,621.81 | Professional | 26 · Professional part | $1,584.89 | $1,584.89 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $794.33 Typical High $1,047.13 | Professional | 52 · Reduced service | $776.25 | $794.33 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $316.23 Typical High $416.87 | Professional | 53 · Discontinued | $309.03 | $316.23 | $416.87 |
Where Colorado sits
The same service costs 354.8 times more in Wisconsin 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· 27th of 51
$1,660
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.