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 $758.58 Median $1,584.89 Typical High $3,548.13 | Facility | None | $758.58 | $1,584.89 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $575.44 | $575.44 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $2,290.87 Typical High $3,467.37 | Facility | None | $1,000.00 | $2,290.87 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $1,698.24 | Professional | None (both parts) | $316.23 | $316.23 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $2,398.83 | Facility | None | $446.68 | $660.69 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,096.48 |
Denver HMP Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $1,047.13 | Facility | None | $575.44 | $691.83 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,548.82 | Professional | None | $758.58 | $1,071.52 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $1,584.89 | Facility | None | $758.58 | $1,412.54 | $1,584.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $758.58 Typical High $1,148.15 | Professional | None (both parts) | $537.03 | $758.58 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $316.23 | $316.23 | $562.34 |
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 $575.44 Median $575.44 Typical High $602.56 | Professional | 26 · Professional part | $575.44 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $288.40 Typical High $380.19 | Professional | 52 · Reduced service | $281.84 | $288.40 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $114.82 | $151.36 |
Where Colorado sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$1,047
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.