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 $5,248.07 Median $10,964.78 Typical High $23,988.33 | Facility | None | $5,248.07 | $10,964.78 | $23,988.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,981.07 Typical High $5,248.07 | Professional | None (both parts) | $3,890.45 | $3,981.07 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $15,848.93 Typical High $23,988.33 | Facility | None | $6,918.31 | $15,848.93 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $11,481.54 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $16,595.87 | Facility | None | $3,090.30 | $4,570.88 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $6,456.54 | $7,585.78 | $7,585.78 |
Denver HMP Setting Facility Modifier None Typical Low $3,981.07 Median $4,677.35 Typical High $7,079.46 | Facility | None | $3,981.07 | $4,677.35 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $10,715.19 | Professional | None | $5,248.07 | $7,244.36 | $10,715.19 |
Select Health Setting Facility Modifier None Typical Low $5,248.07 Median $9,772.37 Typical High $10,964.78 | Facility | None | $5,248.07 | $9,772.37 | $10,964.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $5,248.07 Typical High $7,762.47 | Professional | None (both parts) | $3,630.78 | $5,248.07 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $3,890.45 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $3,890.45 |
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 $3,890.45 Median $3,981.07 Typical High $4,168.69 | Professional | 26 · Professional part | $3,890.45 | $3,981.07 | $4,168.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,995.26 Typical High $2,754.23 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $794.33 Typical High $1,096.48 | Professional | 53 · Discontinued | $776.25 | $794.33 | $1,096.48 |
Where Colorado sits
The same service costs 416.9 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
$7,244
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.