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 $512.86 Median $645.65 Typical High $794.33 | Facility | None | $512.86 | $645.65 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $512.86 Typical High $691.83 | Professional | None (both parts) | $354.81 | $512.86 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $60.26 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $446.68 Typical High $602.56 | Professional | TC · Technical part | $302.00 | $446.68 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $741.31 Typical High $1,122.02 | Professional | None (both parts) | $478.63 | $741.31 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $91.20 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $645.65 Typical High $977.24 | Professional | TC · Technical part | $416.87 | $645.65 | $977.24 |
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 $302.00 Median $575.44 Typical High $891.25 | Professional | None (both parts) | $302.00 | $575.44 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $79.43 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $512.86 Typical High $776.25 | Professional | TC · Technical part | $239.88 | $512.86 | $776.25 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $724.44 | Facility | None | $234.42 | $489.78 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,122.02 | Professional | None | $512.86 | $724.44 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $83.18 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $645.65 Typical High $954.99 | Professional | TC · Technical part | $457.09 | $645.65 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $1,071.52 | Facility | None | $512.86 | $954.99 | $1,071.52 |
Select Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $363.08 | $512.86 | $741.31 |
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 $269.15 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $269.15 | $537.03 | $954.99 |
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 $234.42 Median $478.63 Typical High $831.76 | Professional | TC · Technical part | $234.42 | $478.63 | $831.76 |
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 $204.17 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $102.33 | $102.33 |
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
$617
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.