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 $218.78 Median $302.00 Typical High $501.19 | Facility | None | $218.78 | $302.00 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $323.59 Typical High $741.31 | Facility | TC · Technical part | $162.18 | $323.59 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $181.97 | $223.87 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $70.79 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $131.83 | $162.18 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,380.38 | Facility | None | $660.69 | $776.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $588.84 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $158.49 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $158.49 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $223.87 | $426.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $234.42 Typical High $630.96 | Facility | None | $117.49 | $234.42 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $457.09 | Professional | None (both parts) | $93.33 | $144.54 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $190.55 | Professional | 26 · Professional part | $35.48 | $43.65 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $331.13 | Professional | TC · Technical part | $57.54 | $100.00 | $331.13 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $338.84 | Facility | None | $218.78 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $537.03 | Professional | None | $354.81 | $416.87 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $112.20 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $257.04 | $302.00 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $537.03 Typical High $616.60 | Facility | None | $295.12 | $537.03 | $616.60 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $724.44 | Professional | None (both parts) | $245.47 | $257.04 | $724.44 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,862.09 | Facility | None | $1,548.82 | $1,659.59 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $575.44 | Professional | None (both parts) | $125.89 | $173.78 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $177.83 | Professional | 26 · Professional part | $47.86 | $52.48 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $398.11 | Professional | TC · Technical part | $77.62 | $125.89 | $398.11 |
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 $93.33 Median $109.65 Typical High $154.88 | Professional | 52 · Reduced service | $93.33 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $61.66 | Professional | 53 · Discontinued | $37.15 | $43.65 | $61.66 |
Where Colorado sits
The same service costs 4.2 times more in Alaska 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· 15th 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.