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 $794.33 Median $1,659.59 Typical High $3,630.78 | Facility | None | $794.33 | $1,659.59 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $602.56 | $602.56 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $3,630.78 | Facility | None | $1,047.13 | $2,398.83 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $3,388.44 | Professional | None (both parts) | $630.96 | $630.96 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $562.34 Typical High $2,511.89 | Facility | None | $426.58 | $562.34 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $977.24 | $1,148.15 | $1,148.15 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $1,122.02 | Facility | None | $602.56 | $707.95 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,621.81 | Professional | None | $794.33 | $1,122.02 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $1,659.59 | Facility | None | $794.33 | $1,479.11 | $1,659.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,202.26 | Professional | None (both parts) | $562.34 | $794.33 | $1,202.26 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $331.13 | $331.13 | $588.84 |
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 $602.56 Median $602.56 Typical High $630.96 | Professional | 26 · Professional part | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $302.00 Typical High $398.11 | Professional | 52 · Reduced service | $295.12 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | 53 · Discontinued | $120.23 | $120.23 | $158.49 |
Where Colorado sits
The same service costs 12.0 times more in Texas 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· 3rd of 51
$1,445
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.