How much rates vary
Facilitymedian $4,677 · 10th to 90th $933 to $8,913Professionalmedian $1,318 · 10th to 90th $851 to $1,995
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,513.56 | Professional | None | $776.25 | $851.14 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,495.41 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,445.44 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $933.25 | $1,288.25 | $1,737.80 |
Denver HMP Setting Facility Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,380.38 | Facility | None | $776.25 | $1,096.48 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,698.24 | Professional | None | $794.33 | $1,122.02 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $1,698.24 | Facility | None | $794.33 | $1,584.89 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,548.82 | Professional | None | $562.34 | $794.33 | $1,548.82 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,318.26 | $1,949.84 |
2 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 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 52 · Reduced service | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | 53 · Discontinued | $154.88 | $154.88 | $194.98 |
Where Colorado sits
The same service costs 10.3 times more in Maine than in Arkansas. 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.