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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $616.60 Typical High $660.69 | Professional | None (both parts) | $489.78 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $125.89 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $489.78 Typical High $512.86 | Professional | TC · Technical part | $380.19 | $489.78 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $912.01 Typical High $1,348.96 | Professional | None (both parts) | $588.84 | $912.01 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $190.55 Typical High $275.42 | Professional | 26 · Professional part | $120.23 | $190.55 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $724.44 Typical High $1,071.52 | Professional | TC · Technical part | $467.74 | $724.44 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $741.31 Typical High $1,122.02 | Professional | None (both parts) | $549.54 | $741.31 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $128.82 | $165.96 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $575.44 Typical High $851.14 | Professional | TC · Technical part | $416.87 | $575.44 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $891.25 | Facility | None | $575.44 | $616.60 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,380.38 | Professional | None | $616.60 | $891.25 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $120.23 | $169.82 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $707.95 Typical High $1,096.48 | Professional | TC · Technical part | $501.19 | $707.95 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,318.26 | Facility | None | $616.60 | $1,148.15 | $1,318.26 |
Select Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $891.25 | Professional | None (both parts) | $446.68 | $616.60 | $891.25 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,466.84 | Facility | None | $3,715.35 | $3,981.07 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $489.78 | $707.95 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $117.49 | $169.82 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $549.54 Typical High $912.01 | Professional | TC · Technical part | $371.54 | $549.54 | $912.01 |
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 $251.19 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $251.19 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $100.00 | $123.03 | $123.03 |
Where Colorado sits
The same service costs 3.1 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
$759
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.