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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $109.65 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $123.03 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $162.18 | $169.82 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $25.12 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $144.54 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $426.58 | Facility | None | $117.49 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $165.96 | $239.88 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $38.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $134.90 | $199.53 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $288.40 | Facility | None | $147.91 | $194.98 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $309.03 | Professional | None | $162.18 | $213.80 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $51.29 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $158.49 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $316.23 | Facility | None | $151.36 | $275.42 | $316.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $125.89 | $165.96 | $275.42 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $165.96 | $245.47 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $37.15 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $204.17 | $295.12 |
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 $61.66 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $32.36 | $32.36 |
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· 33rd of 51
$174
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.