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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,949.84 Typical High $1,995.26 | Professional | None (both parts) | $1,659.59 | $1,949.84 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $354.81 Typical High $380.19 | Professional | 26 · Professional part | $309.03 | $354.81 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,318.26 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,951.21 Typical High $4,466.84 | Professional | None (both parts) | $1,905.46 | $2,951.21 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $524.81 Typical High $794.33 | Professional | 26 · Professional part | $346.74 | $524.81 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $2,454.71 Typical High $3,715.35 | Professional | TC · Technical part | $1,584.89 | $2,454.71 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,454.71 Typical High $3,801.89 | Professional | None (both parts) | $1,479.11 | $2,454.71 | $3,801.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $457.09 Typical High $676.08 | Professional | 26 · Professional part | $346.74 | $457.09 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $2,041.74 Typical High $3,162.28 | Professional | TC · Technical part | $1,122.02 | $2,041.74 | $3,162.28 |
Denver HMP Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,818.38 | Facility | None | $1,698.24 | $1,995.26 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,951.21 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $489.78 Typical High $758.58 | Professional | 26 · Professional part | $346.74 | $489.78 | $758.58 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,454.71 Typical High $3,801.89 | Professional | TC · Technical part | $1,737.80 | $2,454.71 | $3,801.89 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $4,365.16 | Facility | None | $2,089.30 | $3,890.45 | $4,365.16 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,089.30 Typical High $2,951.21 | Professional | None (both parts) | $1,445.44 | $2,089.30 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,344.23 Typical High $3,981.07 | Professional | None (both parts) | $1,479.11 | $2,344.23 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $457.09 Typical High $758.58 | Professional | 26 · Professional part | $323.59 | $457.09 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,905.46 Typical High $3,311.31 | Professional | TC · Technical part | $1,230.27 | $1,905.46 | $3,311.31 |
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 $812.83 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $812.83 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $331.13 | $389.05 | $389.05 |
Where Colorado sits
The same service costs 3.2 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· 14th of 51
$2,512
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.