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 $138.04 Median $173.78 Typical High $213.80 | Facility | None | $138.04 | $173.78 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $117.49 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $16.98 | $24.55 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $112.20 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $131.83 | $131.83 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $22.91 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $107.15 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $131.83 | $186.21 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $17.78 | $29.51 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $109.65 | $158.49 | $257.04 |
Denver HMP Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $229.09 | Facility | None | $138.04 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $263.03 | Professional | None | $134.90 | $181.97 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $32.36 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $147.91 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $269.15 | Facility | None | $125.89 | $234.42 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $104.71 | $125.89 | $234.42 |
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 $131.83 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $131.83 | $190.55 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $18.20 | $29.51 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $158.49 | $234.42 |
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 $57.54 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $27.54 | $27.54 |
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· 29th of 51
$151
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.