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 $239.88 Median $309.03 Typical High $380.19 | Facility | None | $239.88 | $309.03 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $218.78 | $239.88 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $66.07 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $154.88 | $173.78 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $269.15 | $354.81 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $95.50 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $263.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $234.42 | $309.03 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $87.10 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $218.78 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $346.74 | Facility | None | $239.88 | $295.12 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $478.63 | Professional | None | $245.47 | $323.59 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $87.10 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $239.88 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $489.78 | Facility | None | $229.09 | $426.58 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $186.21 | $229.09 | $426.58 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $223.87 | $302.00 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $87.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $158.49 | $218.78 | $346.74 |
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 $107.15 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $47.86 | $52.48 |
Where Colorado sits
The same service costs 3.5 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· 17th of 51
$324
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.