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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $676.08 Typical High $831.76 | Professional | None (both parts) | $524.81 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $128.82 | $134.90 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $645.65 Typical High $724.44 | Professional | TC · Technical part | $489.78 | $645.65 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,230.27 | Professional | None (both parts) | $616.60 | $870.96 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $199.53 Typical High $275.42 | Professional | 26 · Professional part | $147.91 | $199.53 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $812.83 Typical High $1,148.15 | Professional | TC · Technical part | $588.84 | $812.83 | $1,148.15 |
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 $275.42 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $275.42 | $371.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $331.13 | Professional | 26 · Professional part | $141.25 | $181.97 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $186.21 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $977.24 | Facility | None | $398.11 | $676.08 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,288.25 | Professional | None | $676.08 | $891.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $134.90 | $177.83 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $831.76 Typical High $1,148.15 | Professional | TC · Technical part | $630.96 | $831.76 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $1,513.56 | Facility | None | $724.44 | $1,318.26 | $1,513.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $724.44 Typical High $1,318.26 | Professional | None (both parts) | $562.34 | $724.44 | $1,318.26 |
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 $389.05 Median $724.44 Typical High $1,348.96 | Professional | None (both parts) | $389.05 | $724.44 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $131.83 | $186.21 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $575.44 Typical High $1,071.52 | Professional | TC · Technical part | $199.53 | $575.44 | $1,071.52 |
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 $245.47 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $245.47 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $97.72 | $134.90 | $134.90 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 6th of 51
$741
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.