How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $223.87 | $234.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $158.49 | $165.96 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $67.61 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,892.96 Median $30,199.52 Typical High $60,255.96 | Facility | None | $20,892.96 | $30,199.52 | $60,255.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $245.47 | $323.59 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $363.08 | Professional | 26 · Professional part | $173.78 | $229.09 | $363.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $93.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $5,248.07 Typical High $34,673.69 | Facility | None | $1,513.56 | $5,248.07 | $34,673.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $257.04 | $331.13 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $186.21 | $239.88 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $93.33 | $123.03 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $295.12 Typical High $436.52 | Facility | None | $218.78 | $295.12 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $10,471.29 Typical High $20,417.38 | Professional | None | $5,128.61 | $10,471.29 | $20,417.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $218.78 Typical High $331.13 | Professional | 26 · Professional part | $147.91 | $218.78 | $331.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $10,232.93 Typical High $13,803.84 | Professional | TC · Technical part | $5,011.87 | $10,232.93 | $13,803.84 |
Select Health Setting Facility Modifier None Typical Low $7,943.28 Median $14,791.08 Typical High $16,595.87 | Facility | None | $7,943.28 | $14,791.08 | $16,595.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,623.41 Median $5,623.41 Typical High $7,943.28 | Professional | None (both parts) | $5,623.41 | $5,623.41 | $7,943.28 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $39,810.72 | Facility | None | $676.08 | $1,513.56 | $39,810.72 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $575.44 | Professional | None (both parts) | $269.15 | $338.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $239.88 Typical High $407.38 | Professional | 26 · Professional part | $186.21 | $239.88 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $100.00 | $177.83 |
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 $109.65 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $109.65 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $50.12 | Professional | 53 · Discontinued | $43.65 | $46.77 | $50.12 |
Where Colorado sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 15th of 51
$437
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.