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 $295.12 Median $371.54 Typical High $457.09 | Facility | None | $295.12 | $371.54 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $251.19 | $295.12 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $58.88 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $234.42 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $281.84 | $281.84 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $54.95 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $223.87 | $467.74 |
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 $288.40 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $288.40 | $407.38 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $93.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $229.09 | $323.59 | $549.54 |
Denver HMP Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $549.54 | Facility | None | $263.03 | $354.81 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $562.34 | Professional | None | $288.40 | $389.05 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $75.86 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $234.42 | $309.03 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $501.19 Typical High $575.44 | Facility | None | $275.42 | $501.19 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $223.87 | $275.42 | $501.19 |
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 $281.84 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $281.84 | $407.38 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $91.20 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $323.59 | $478.63 |
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 $125.89 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $50.12 | $58.88 | $58.88 |
Where Colorado sits
The same service costs 3.3 times more in Minnesota 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· 28th of 51
$324
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.