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 $2,137.96 Median $4,466.84 Typical High $9,772.37 | Facility | None | $2,137.96 | $4,466.84 | $9,772.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,621.81 Typical High $2,137.96 | Professional | None (both parts) | $1,584.89 | $1,621.81 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $6,309.57 Typical High $9,772.37 | Facility | None | $2,818.38 | $6,309.57 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $4,677.35 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $6,760.83 | Facility | None | $1,230.27 | $1,862.09 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $2,630.27 | $3,090.30 | $3,090.30 |
Denver HMP Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,884.03 | Facility | None | $1,621.81 | $1,905.46 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,137.96 | $2,951.21 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $3,890.45 Typical High $4,466.84 | Facility | None | $2,137.96 | $3,890.45 | $4,466.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,137.96 Typical High $3,162.28 | Professional | None (both parts) | $1,479.11 | $2,137.96 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | None (both parts) | $891.25 | $891.25 | $1,584.89 |
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 $1,584.89 Median $1,621.81 Typical High $1,698.24 | Professional | 26 · Professional part | $1,584.89 | $1,621.81 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $812.83 Typical High $1,071.52 | Professional | 52 · Reduced service | $794.33 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $323.59 Typical High $426.58 | Professional | 53 · Discontinued | $316.23 | $323.59 | $426.58 |
Where Colorado sits
The same service costs 229.1 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· 5th of 51
$2,951
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.