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 $389.05 Median $812.83 Typical High $1,819.70 | Facility | None | $389.05 | $812.83 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $295.12 | $295.12 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $1,778.28 | Facility | None | $524.81 | $1,174.90 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $165.96 | $269.15 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $1,230.27 | Facility | None | $229.09 | $346.74 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $446.68 | $562.34 | $562.34 |
Denver HMP Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $537.03 | Facility | None | $295.12 | $354.81 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $812.83 | Professional | None | $309.03 | $549.54 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $812.83 | Facility | None | $389.05 | $724.44 | $812.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $275.42 | $275.42 | $389.05 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $165.96 | $165.96 | $288.40 |
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 $295.12 Median $295.12 Typical High $302.00 | Professional | 26 · Professional part | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | 53 · Discontinued | $58.88 | $58.88 | $77.62 |
Where Colorado sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 17th of 51
$389
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.