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 $2,570.40 Median $5,370.32 Typical High $12,022.64 | Facility | None | $2,570.40 | $5,370.32 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,570.40 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $7,762.47 Typical High $11,748.98 | Facility | None | $3,388.44 | $7,762.47 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $5,754.40 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,238.72 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $3,162.28 | $3,715.35 | $3,715.35 |
Denver HMP Setting Facility Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,548.13 | Facility | None | $1,949.84 | $2,344.23 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,630.78 | $5,248.07 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $4,786.30 Typical High $5,370.32 | Facility | None | $2,570.40 | $4,786.30 | $5,370.32 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,570.40 Typical High $3,890.45 | Professional | None (both parts) | $1,819.70 | $2,570.40 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,905.46 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,905.46 |
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 $1,949.84 Median $1,949.84 Typical High $2,041.74 | Professional | 26 · Professional part | $1,949.84 | $1,949.84 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $977.24 Typical High $1,348.96 | Professional | 52 · Reduced service | $954.99 | $977.24 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $549.54 | Professional | 53 · Discontinued | $389.05 | $389.05 | $549.54 |
Where Colorado sits
The same service costs 204.2 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
$3,631
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.