How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | None (both parts) | $870.96 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $131.83 | Professional | 26 · Professional part | $117.49 | $128.82 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $831.76 Typical High $891.25 | Professional | TC · Technical part | $758.58 | $831.76 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $2,238.72 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $194.98 Typical High $281.84 | Professional | 26 · Professional part | $138.04 | $194.98 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,348.96 Typical High $1,995.26 | Professional | TC · Technical part | $954.99 | $1,348.96 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,348.96 Typical High $2,137.96 | Professional | None (both parts) | $912.01 | $1,348.96 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $177.83 Typical High $281.84 | Professional | 26 · Professional part | $125.89 | $177.83 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,174.90 Typical High $1,862.09 | Professional | TC · Technical part | $794.33 | $1,174.90 | $1,862.09 |
Denver HMP Setting Facility Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,380.38 | Facility | None | $954.99 | $1,023.29 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,548.82 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $275.42 | Professional | 26 · Professional part | $131.83 | $194.98 | $275.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,380.38 Typical High $1,905.46 | Professional | TC · Technical part | $912.01 | $1,380.38 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $2,187.76 | Facility | None | $1,047.13 | $1,949.84 | $2,187.76 |
Select Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,047.13 Typical High $2,041.74 | Professional | None (both parts) | $724.44 | $1,047.13 | $2,041.74 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,265.80 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,412.54 Typical High $2,238.72 | Professional | None (both parts) | $954.99 | $1,412.54 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $181.97 Typical High $281.84 | Professional | 26 · Professional part | $123.03 | $181.97 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,230.27 Typical High $1,949.84 | Professional | TC · Technical part | $831.76 | $1,230.27 | $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 $436.52 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $190.55 | $218.78 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 10th of 51
$1,413
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.