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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $141.25 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $91.20 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $77.62 | Professional | TC · Technical part | $60.26 | $70.79 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $158.49 | $245.47 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $141.25 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $112.20 | $165.96 |
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 $165.96 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $165.96 | $213.80 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $123.03 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $89.13 | $131.83 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $234.42 | Facility | None | $162.18 | $169.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $354.81 | Professional | None | $162.18 | $229.09 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $89.13 | $128.82 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $100.00 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $295.12 Typical High $338.84 | Facility | None | $162.18 | $295.12 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $117.49 | $162.18 | $234.42 |
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 $147.91 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $147.91 | $208.93 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $125.89 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $87.10 | $138.04 |
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 $69.18 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $32.36 | $32.36 |
Where Colorado sits
The same service costs 3.6 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· 13th of 51
$209
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.