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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $562.34 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $239.88 Typical High $251.19 | Professional | 26 · Professional part | $208.93 | $239.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $323.59 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,122.02 Typical High $1,698.24 | Professional | None (both parts) | $724.44 | $1,122.02 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $363.08 Typical High $537.03 | Professional | 26 · Professional part | $239.88 | $363.08 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $758.58 Typical High $1,148.15 | Professional | TC · Technical part | $478.63 | $758.58 | $1,148.15 |
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 $457.09 Median $812.83 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $467.74 | Professional | 26 · Professional part | $239.88 | $309.03 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $218.78 | $537.03 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $1,148.15 | Facility | None | $398.11 | $707.95 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,698.24 | Professional | None | $812.83 | $1,148.15 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $323.59 Typical High $512.86 | Professional | 26 · Professional part | $229.09 | $323.59 | $512.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $812.83 Typical High $1,202.26 | Professional | TC · Technical part | $575.44 | $812.83 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $1,479.11 Typical High $1,698.24 | Facility | None | $812.83 | $1,479.11 | $1,698.24 |
Select Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $812.83 Typical High $1,148.15 | Professional | None (both parts) | $575.44 | $812.83 | $1,148.15 |
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 $478.63 Median $724.44 Typical High $1,318.26 | Professional | None (both parts) | $478.63 | $724.44 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $302.00 Typical High $512.86 | Professional | 26 · Professional part | $218.78 | $302.00 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $213.80 | $457.09 | $812.83 |
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 $288.40 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $288.40 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $114.82 | $158.49 | $158.49 |
Where Colorado sits
The same service costs 3.2 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
$933
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.