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 $234.42 Median $338.84 Typical High $416.87 | Facility | None | $234.42 | $338.84 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $208.93 | $263.03 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $39.81 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $223.87 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $229.09 | $257.04 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $37.15 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $218.78 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $245.47 Typical High $977.24 | Facility | None | $117.49 | $245.47 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $251.19 | $363.08 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $316.23 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $436.52 | Facility | None | $251.19 | $288.40 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $512.86 | Professional | None | $269.15 | $354.81 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $52.48 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $302.00 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $467.74 Typical High $524.81 | Facility | None | $251.19 | $467.74 | $524.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $204.17 | $251.19 | $467.74 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $251.19 | $363.08 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $47.86 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $309.03 | $467.74 |
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 $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $53.70 | $53.70 |
Where Colorado sits
The same service costs 3.2 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· 26th of 51
$282
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.