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 $436.52 Median $562.34 Typical High $676.08 | Facility | None | $436.52 | $562.34 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $323.59 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $60.26 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $380.19 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $416.87 | $645.65 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $89.13 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $549.54 Typical High $831.76 | Professional | TC · Technical part | $354.81 | $549.54 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $275.42 | $501.19 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $79.43 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $213.80 | $426.58 | $645.65 |
Denver HMP Setting Facility Modifier None Typical Low $251.19 Median $436.52 Typical High $630.96 | Facility | None | $251.19 | $436.52 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $954.99 | Professional | None | $436.52 | $616.60 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $81.28 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $537.03 Typical High $794.33 | Professional | TC · Technical part | $380.19 | $537.03 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $812.83 Typical High $912.01 | Facility | None | $436.52 | $812.83 | $912.01 |
Select Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $316.23 | $436.52 | $630.96 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,122.02 | Facility | None | $933.25 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $257.04 | $457.09 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $77.62 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $218.78 | $398.11 | $691.83 |
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 $173.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $173.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $87.10 | $87.10 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 13th of 51
$525
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.