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 $114.82 Median $114.82 Typical High $177.83 | Facility | None | $114.82 | $114.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $70.79 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $37.15 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $75.86 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $109.65 | $173.78 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $54.95 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $120.23 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $66.07 | $131.83 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $46.77 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $28.18 | $83.18 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $162.18 | Facility | None | $74.13 | $102.33 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $245.47 | Professional | None | $112.20 | $158.49 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $48.98 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $109.65 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $234.42 | Facility | None | $112.20 | $208.93 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $81.28 | $112.20 | $162.18 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $676.08 | Facility | None | $562.34 | $588.84 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $66.07 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $47.86 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $29.51 | $74.13 | $134.90 |
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 $45.71 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $22.91 | $22.91 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$141
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.