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 $2,630.27 Median $5,623.41 Typical High $12,302.69 | Facility | None | $2,630.27 | $5,623.41 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $2,630.27 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $7,943.28 Typical High $12,022.64 | Facility | None | $3,548.13 | $7,943.28 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $6,918.31 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $8,317.64 | Facility | None | $1,412.54 | $1,862.09 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,801.89 Typical High $3,801.89 | Professional | None (both parts) | $3,235.94 | $3,801.89 | $3,801.89 |
Denver HMP Setting Facility Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $3,715.35 | Facility | None | $1,995.26 | $2,398.83 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $5,495.41 | Professional | None | $2,630.27 | $3,715.35 | $5,495.41 |
Select Health Setting Facility Modifier None Typical Low $2,630.27 Median $4,897.79 Typical High $5,623.41 | Facility | None | $2,630.27 | $4,897.79 | $5,623.41 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,630.27 Typical High $3,981.07 | Professional | None (both parts) | $1,862.09 | $2,630.27 | $3,981.07 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,949.84 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,949.84 |
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 $1,995.26 Median $1,995.26 Typical High $2,137.96 | Professional | 26 · Professional part | $1,995.26 | $1,995.26 | $2,137.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $407.38 Typical High $524.81 | Professional | 53 · Discontinued | $398.11 | $407.38 | $524.81 |
Where Colorado sits
The same service costs 33.9 times more in Texas than in Ohio. 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· 4th of 51
$3,802
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.