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 $630.96 Median $1,348.96 Typical High $2,951.21 | Facility | None | $630.96 | $1,348.96 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $478.63 | $478.63 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,905.46 Typical High $2,884.03 | Facility | None | $851.14 | $1,905.46 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $1,412.54 | Professional | None (both parts) | $269.15 | $269.15 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $1,995.26 | Facility | None | $371.54 | $562.34 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $776.25 | $912.01 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $870.96 | Facility | None | $478.63 | $575.44 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,318.26 | Professional | None | $630.96 | $891.25 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,318.26 | Facility | None | $630.96 | $1,174.90 | $1,318.26 |
Select Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $446.68 | $630.96 | $954.99 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $269.15 | $269.15 | $467.74 |
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 $478.63 Median $478.63 Typical High $512.86 | Professional | 26 · Professional part | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $125.89 | Professional | 53 · Discontinued | $95.50 | $95.50 | $125.89 |
Where Colorado sits
The same service costs 11.7 times more in Texas than in New Mexico. 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· 5th of 51
$891
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.