How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $602.56 Median $1,621.81 Typical High $2,884.03 | Facility | None | $602.56 | $1,621.81 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $549.54 | $602.56 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $104.71 | Professional | 26 · Professional part | $81.28 | $95.50 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $467.74 | $501.19 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,786.30 Typical High $5,011.87 | Facility | None | $2,754.23 | $4,786.30 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $398.11 | $602.56 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $134.90 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $512.86 Typical High $794.33 | Professional | TC · Technical part | $331.13 | $512.86 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,023.29 | $1,995.26 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $851.14 Typical High $1,288.25 | Professional | None (both parts) | $630.96 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $138.04 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $707.95 Typical High $1,122.02 | Professional | TC · Technical part | $524.81 | $707.95 | $1,122.02 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $933.25 | Facility | None | $602.56 | $758.58 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,202.26 | Professional | None | $537.03 | $758.58 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $117.49 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $645.65 Typical High $1,000.00 | Professional | TC · Technical part | $457.09 | $645.65 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,122.02 | Facility | None | $537.03 | $1,000.00 | $1,122.02 |
Select Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $398.11 | $537.03 | $794.33 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,466.84 | Facility | None | $3,715.35 | $3,981.07 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $851.14 Typical High $1,380.38 | Professional | None (both parts) | $562.34 | $851.14 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $87.10 | $128.82 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $724.44 Typical High $1,230.27 | Professional | TC · Technical part | $524.81 | $724.44 | $1,230.27 |
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 $269.15 Median $295.12 Typical High $354.81 | Professional | 52 · Reduced service | $269.15 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $141.25 | Professional | 53 · Discontinued | $109.65 | $120.23 | $141.25 |
Where Colorado sits
The same service costs 3.3 times more in Alaska than in Texas. 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· 21st of 51
$724
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.