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 $128.82 Median $128.82 Typical High $204.17 | Facility | None | $128.82 | $128.82 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $114.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $58.88 | $64.57 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $66.07 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $120.23 | $120.23 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $60.26 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $61.66 | $125.89 |
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 $128.82 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $128.82 | $194.98 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $61.66 | $83.18 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $102.33 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $128.82 Median $169.82 Typical High $245.47 | Facility | None | $128.82 | $169.82 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $257.04 | Professional | None | $134.90 | $177.83 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $85.11 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $91.20 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $263.03 | Facility | None | $125.89 | $234.42 | $263.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $100.00 | $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 $125.89 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $125.89 | $190.55 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $83.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $97.72 | $165.96 |
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 $54.95 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $25.70 | $26.30 |
Where Colorado sits
The same service costs 4.6 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· 34th of 51
$148
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.