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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $120.23 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $47.86 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $83.18 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $131.83 | $208.93 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $70.79 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $134.90 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $134.90 | $181.97 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $63.10 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $120.23 | $190.55 |
Denver HMP Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $199.53 | Facility | None | $131.83 | $165.96 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $281.84 | Professional | None | $128.82 | $181.97 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $63.10 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $120.23 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $269.15 | Facility | None | $128.82 | $239.88 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $95.50 | $128.82 | $190.55 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $114.82 | $169.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $63.10 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $81.28 | $112.20 | $213.80 |
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 $57.54 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $26.30 | $27.54 |
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
$174
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.