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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $158.49 | $177.83 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $89.13 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $91.20 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $234.42 | Facility | None | $112.20 | $131.83 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $239.88 | $467.74 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $239.88 Typical High $416.87 | Professional | 26 · Professional part | $123.03 | $239.88 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $120.23 | $229.09 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $363.08 | Facility | None | $67.61 | $128.82 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $426.58 | Professional | None (both parts) | $109.65 | $125.89 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $263.03 | Professional | 26 · Professional part | $56.23 | $67.61 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $204.17 | Professional | TC · Technical part | $48.98 | $66.07 | $204.17 |
Denver HMP Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $426.58 | Facility | None | $177.83 | $257.04 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $954.99 | Professional | None | $281.84 | $331.13 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $467.74 | Professional | 26 · Professional part | $138.04 | $162.18 | $467.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $165.96 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $426.58 Typical High $489.78 | Facility | None | $234.42 | $426.58 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $199.53 | $213.80 | $588.84 |
United Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $275.42 | Facility | None | $229.09 | $239.88 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $489.78 | Professional | None (both parts) | $141.25 | $173.78 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $269.15 | Professional | 26 · Professional part | $70.79 | $85.11 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $218.78 | Professional | TC · Technical part | $64.57 | $91.20 | $218.78 |
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 $79.43 Median $89.13 Typical High $169.82 | Professional | 52 · Reduced service | $79.43 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $67.61 | Professional | 53 · Discontinued | $31.62 | $36.31 | $67.61 |
Where Colorado sits
The same service costs 6.5 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· 23rd of 51
$240
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.