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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $165.96 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $316.23 | $457.09 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $186.21 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $323.59 | $398.11 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $128.82 | $151.36 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $194.98 | $229.09 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $501.19 | Facility | None | $323.59 | $354.81 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $302.00 Typical High $346.74 | Professional | None | $154.88 | $302.00 | $346.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,621.81 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $288.40 | $371.54 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $144.54 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $218.78 | $338.84 |
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 $83.18 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $83.18 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $33.11 | $70.79 | $70.79 |
Where Colorado sits
The same service costs 9.8 times more in Alaska than in New York. 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· 10th of 51
$417
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.