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 $77.62 Median $77.62 Typical High $120.23 | Facility | None | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $64.57 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $38.02 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $41.69 | Professional | TC · Technical part | $27.54 | $38.90 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $58.88 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $53.70 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $53.70 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $70.79 | $85.11 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $36.31 | $58.88 |
Denver HMP Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $109.65 | Facility | None | $74.13 | $77.62 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $158.49 | Professional | None | $61.66 | $95.50 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $46.77 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $47.86 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $151.36 | Facility | None | $72.44 | $134.90 | $151.36 |
Select Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $58.88 | $72.44 | $104.71 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $36.31 | $52.48 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $37.15 | $51.29 |
United Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Facility | None | $162.18 | $169.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $67.61 | $87.10 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $50.12 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $36.31 | $57.54 |
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 $32.36 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $13.18 | $15.49 | $15.49 |
Where Colorado sits
The same service costs 3.3 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· 13th of 51
$95.50
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.