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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $107.15 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $58.88 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $114.82 | $165.96 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $81.28 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $85.11 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $125.89 | $144.54 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $74.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $72.44 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $177.83 | Facility | None | $125.89 | $158.49 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $263.03 | Professional | None | $102.33 | $154.88 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $70.79 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $85.11 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $251.19 | Facility | None | $120.23 | $218.78 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $91.20 | $120.23 | $173.78 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $56.23 | $79.43 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $51.29 | $63.10 | $91.20 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,949.84 | $2,041.74 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $120.23 | $147.91 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $75.86 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $72.44 | $107.15 |
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 $53.70 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $25.12 | $25.12 |
Where Colorado sits
The same service costs 3.8 times more in Minnesota 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· 17th of 51
$155
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.