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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $134.90 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $128.82 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $165.96 | $257.04 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $43.65 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $213.80 | $323.59 |
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 $138.04 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $138.04 | $194.98 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $38.02 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $158.49 | $239.88 |
Denver HMP Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $229.09 | Facility | None | $120.23 | $186.21 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $316.23 | Professional | None | $144.54 | $204.17 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $38.02 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $165.96 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $302.00 | Facility | None | $144.54 | $263.03 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $114.82 | $147.91 | $229.09 |
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 $125.89 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $125.89 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $26.92 | $37.15 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $147.91 | $239.88 |
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 $67.61 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $31.62 | $32.36 |
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· 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.