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 $263.03 Median $549.54 Typical High $1,202.26 | Facility | None | $263.03 | $549.54 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $194.98 | $199.53 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $1,202.26 | Facility | None | $346.74 | $776.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $575.44 | Professional | None (both parts) | $109.65 | $109.65 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $831.76 | Facility | None | $151.36 | $229.09 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $316.23 | $380.19 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $354.81 | Facility | None | $199.53 | $234.42 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $537.03 | Professional | None | $263.03 | $363.08 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $549.54 | Facility | None | $263.03 | $478.63 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $181.97 | $263.03 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $109.65 | $109.65 | $194.98 |
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 $194.98 Median $199.53 Typical High $208.93 | Professional | 26 · Professional part | $194.98 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $38.90 | $39.81 | $54.95 |
Where Colorado sits
The same service costs 5.4 times more in Alaska than in Ohio. 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
$363
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.