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 $309.03 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $309.03 | $323.59 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $251.19 Typical High $363.08 | Professional | 26 · Professional part | $239.88 | $251.19 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $74.13 | $83.18 |
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 $346.74 Median $457.09 Typical High $724.44 | Professional | None (both parts) | $346.74 | $457.09 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $354.81 Typical High $562.34 | Professional | 26 · Professional part | $269.15 | $354.81 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $104.71 | $169.82 |
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 $380.19 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $380.19 | $467.74 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $478.63 | Professional | 26 · Professional part | $302.00 | $363.08 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $104.71 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $323.59 Median $426.58 Typical High $1,380.38 | Facility | None | $323.59 | $426.58 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $10,471.29 Typical High $40,738.03 | Professional | None | $5,128.61 | $10,471.29 | $40,738.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $218.78 | $331.13 | $512.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $10,000.00 Typical High $13,489.63 | Professional | TC · Technical part | $4,897.79 | $10,000.00 | $13,489.63 |
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 $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 $407.38 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $407.38 | $501.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $380.19 Typical High $602.56 | Professional | 26 · Professional part | $309.03 | $380.19 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $125.89 | $239.88 |
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 $151.36 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $151.36 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $64.57 | $69.18 |
Where Colorado sits
The same service costs 9.5 times more in Louisiana than in New York. 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
$617
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.