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 $1,348.96 Median $2,818.38 Typical High $6,165.95 | Facility | None | $1,348.96 | $2,818.38 | $6,165.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $1,000.00 | $1,023.29 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $3,981.07 Typical High $6,165.95 | Facility | None | $1,778.28 | $3,981.07 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $2,951.21 | Professional | None (both parts) | $562.34 | $562.34 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $4,265.80 | Facility | None | $776.25 | $1,174.90 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,621.81 | $1,949.84 | $1,949.84 |
Denver HMP Setting Facility Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,819.70 | Facility | None | $1,023.29 | $1,202.26 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,862.09 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,348.96 | $2,454.71 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $1,995.26 | Professional | None (both parts) | $933.25 | $1,348.96 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $562.34 | $562.34 | $1,000.00 |
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 $1,000.00 Median $1,023.29 Typical High $1,071.52 | Professional | 26 · Professional part | $1,000.00 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $512.86 Typical High $707.95 | Professional | 52 · Reduced service | $501.19 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $281.84 | Professional | 53 · Discontinued | $199.53 | $204.17 | $281.84 |
Where Colorado sits
The same service costs 104.7 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
$1,862
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.