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 $741.31 Median $1,548.82 Typical High $3,467.37 | Facility | None | $741.31 | $1,548.82 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None (both parts) | $562.34 | $562.34 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $2,238.72 Typical High $3,388.44 | Facility | None | $977.24 | $2,238.72 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $1,621.81 | Professional | None (both parts) | $309.03 | $309.03 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $2,344.23 | Facility | None | $436.52 | $645.65 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,071.52 |
Denver HMP Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,023.29 | Facility | None | $562.34 | $676.08 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,513.56 | Professional | None | $741.31 | $1,047.13 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,380.38 Typical High $1,548.82 | Facility | None | $741.31 | $1,380.38 | $1,548.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $741.31 Typical High $1,122.02 | Professional | None (both parts) | $524.81 | $741.31 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $309.03 | $309.03 | $549.54 |
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 $562.34 Median $562.34 Typical High $588.84 | Professional | 26 · Professional part | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $281.84 Typical High $389.05 | Professional | 52 · Reduced service | $275.42 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | 53 · Discontinued | $112.20 | $112.20 | $158.49 |
Where Colorado sits
The same service costs 58.9 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
$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.