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 $891.25 Median $1,905.46 Typical High $4,168.69 | Facility | None | $891.25 | $1,905.46 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None (both parts) | $676.08 | $676.08 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $2,691.53 Typical High $4,073.80 | Facility | None | $1,202.26 | $2,691.53 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $616.60 Typical High $1,862.09 | Professional | None (both parts) | $380.19 | $616.60 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $2,818.38 | Facility | None | $524.81 | $794.33 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,023.29 | $1,288.25 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $1,230.27 | Facility | None | $676.08 | $812.83 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $1,905.46 | Professional | None | $724.44 | $1,288.25 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $1,905.46 | Facility | None | $891.25 | $1,659.59 | $1,905.46 |
Select Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $630.96 | $630.96 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $380.19 | $380.19 | $660.69 |
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 $676.08 Median $676.08 Typical High $691.83 | Professional | 26 · Professional part | $676.08 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $134.90 | $177.83 |
Where Colorado sits
The same service costs 31.6 times more in Alaska 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· 8th of 51
$977
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.