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 $660.69 Median $1,380.38 Typical High $3,090.30 | Facility | None | $660.69 | $1,380.38 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $501.19 Typical High $660.69 | Professional | None (both parts) | $489.78 | $501.19 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,995.26 Typical High $3,019.95 | Facility | None | $891.25 | $1,995.26 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $63.10 Typical High $489.78 | Professional | None (both parts) | $12.88 | $63.10 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $2,089.30 | Facility | None | $354.81 | $467.74 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $758.58 | $954.99 | $954.99 |
Denver HMP Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $933.25 | Facility | None | $501.19 | $602.56 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $1,380.38 | Professional | None | $524.81 | $870.96 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,380.38 | Facility | None | $660.69 | $1,230.27 | $1,380.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $467.74 | $467.74 | $660.69 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $275.42 | $275.42 | $489.78 |
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 $501.19 Median $501.19 Typical High $512.86 | Professional | 26 · Professional part | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $251.19 Typical High $331.13 | Professional | 52 · Reduced service | $245.47 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $100.00 Typical High $131.83 | Professional | 53 · Discontinued | $97.72 | $100.00 | $131.83 |
Where Colorado sits
The same service costs 114.8 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· 29th of 51
$513
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.