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 $5,011.87 Median $10,471.29 Typical High $22,908.68 | Facility | None | $5,011.87 | $10,471.29 | $22,908.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $3,801.89 Typical High $5,011.87 | Professional | None (both parts) | $3,715.35 | $3,801.89 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $15,135.61 Typical High $22,908.68 | Facility | None | $6,606.93 | $15,135.61 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $10,964.78 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $15,848.93 | Facility | None | $2,691.53 | $3,548.13 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,165.95 Median $7,244.36 Typical High $7,244.36 | Professional | None (both parts) | $6,165.95 | $7,244.36 | $7,244.36 |
Denver HMP Setting Facility Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $6,918.31 | Facility | None | $3,801.89 | $4,466.84 | $6,918.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $7,079.46 Typical High $10,232.93 | Professional | None | $5,011.87 | $7,079.46 | $10,232.93 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $9,332.54 Typical High $10,471.29 | Facility | None | $5,011.87 | $9,332.54 | $10,471.29 |
Select Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $5,011.87 Typical High $7,585.78 | Professional | None (both parts) | $3,467.37 | $5,011.87 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $3,715.35 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $3,715.35 |
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 $3,715.35 Median $3,801.89 Typical High $3,981.07 | Professional | 26 · Professional part | $3,715.35 | $3,801.89 | $3,981.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $1,905.46 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,862.09 | $1,905.46 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $1,071.52 | Professional | 53 · Discontinued | $758.58 | $758.58 | $1,071.52 |
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· 5th of 51
$6,918
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.