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 $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $54.95 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $22.39 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $57.54 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $51.29 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $22.91 | $38.90 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $52.48 | $66.07 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $38.90 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $32.36 | Professional | TC · Technical part | $19.50 | $26.92 | $32.36 |
Denver HMP Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $102.33 | Facility | None | $58.88 | $77.62 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $107.15 | Professional | None | $67.61 | $79.43 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $44.67 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $29.51 | $35.48 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $123.03 Typical High $141.25 | Facility | None | $67.61 | $123.03 | $141.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $67.61 | $72.44 | $91.20 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $309.03 | Facility | None | $257.04 | $269.15 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $52.48 | $66.07 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $40.74 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $33.88 | Professional | TC · Technical part | $19.05 | $25.70 | $33.88 |
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 $27.54 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $10.96 | $14.13 | $14.13 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 19th of 51
$67.61
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.