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 $2,691.53 Median $6,918.31 Typical High $36,307.81 | Facility | None | $2,691.53 | $6,918.31 | $36,307.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $707.95 Typical High $6,456.54 | Professional | None (both parts) | $676.08 | $707.95 | $6,456.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $398.11 Typical High $575.44 | Professional | 26 · Professional part | $389.05 | $398.11 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $316.23 | $426.58 |
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 $758.58 Median $977.24 Typical High $1,548.82 | Professional | None (both parts) | $758.58 | $977.24 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $549.54 Typical High $870.96 | Professional | 26 · Professional part | $416.87 | $549.54 | $870.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $436.52 Typical High $691.83 | Professional | TC · Technical part | $331.13 | $436.52 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,025.60 Typical High $7,943.28 | Facility | None | $4,365.16 | $6,025.60 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $794.33 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $588.84 Typical High $776.25 | Professional | 26 · Professional part | $457.09 | $588.84 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $446.68 Typical High $588.84 | Professional | TC · Technical part | $338.84 | $446.68 | $588.84 |
Denver HMP Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,862.09 | Facility | None | $645.65 | $891.25 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,370.32 Median $10,715.19 Typical High $26,302.68 | Professional | None | $5,370.32 | $10,715.19 | $26,302.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $524.81 Typical High $794.33 | Professional | 26 · Professional part | $354.81 | $524.81 | $794.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5,128.61 Median $10,000.00 Typical High $13,803.84 | Professional | TC · Technical part | $5,128.61 | $10,000.00 | $13,803.84 |
Select Health Setting Facility Modifier None Typical Low $6,456.54 Median $7,943.28 Typical High $16,595.87 | Facility | None | $6,456.54 | $7,943.28 | $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 $2,511.89 Median $6,025.60 Typical High $16,218.10 | Facility | None | $2,511.89 | $6,025.60 | $16,218.10 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,071.52 Typical High $1,778.28 | Professional | None (both parts) | $851.14 | $1,071.52 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $575.44 Typical High $977.24 | Professional | 26 · Professional part | $467.74 | $575.44 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $478.63 Typical High $851.14 | Professional | TC · Technical part | $380.19 | $478.63 | $851.14 |
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 $331.13 Median $354.81 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $144.54 Typical High $154.88 | Professional | 53 · Discontinued | $131.83 | $144.54 | $154.88 |
Where Colorado sits
The same service costs 7.1 times more in Texas than in Hawaii. 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· 18th of 51
$1,413
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.