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 $275.42 Median $275.42 Typical High $426.58 | Facility | None | $275.42 | $275.42 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $245.47 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $40.74 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $234.42 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $263.03 | $263.03 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $38.02 | $77.62 |
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 $257.04 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $257.04 | $354.81 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $38.90 | $52.48 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $302.00 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $398.11 | Facility | None | $275.42 | $302.00 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $524.81 | Professional | None | $281.84 | $371.54 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $52.48 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $316.23 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $549.54 | Facility | None | $263.03 | $489.78 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $213.80 | $263.03 | $489.78 |
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 $257.04 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $257.04 | $363.08 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $52.48 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $309.03 | $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 $117.49 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $54.95 | $56.23 |
Where Colorado sits
The same service costs 3.1 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
$302
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.