How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2,691.53 Typical High $3,467.37 | Facility | None | $162.18 | $2,691.53 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,288.25 Typical High $1,862.09 | Professional | None (both parts) | $954.99 | $1,288.25 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $870.96 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $4,365.16 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $288.40 | Professional | 26 · Professional part | $102.33 | $147.91 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,511.89 Typical High $4,265.80 | Professional | TC · Technical part | $1,737.80 | $2,511.89 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,862.09 | Facility | None | $1,174.90 | $1,288.25 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,949.84 | $1,949.84 | $2,290.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
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 $501.19 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $501.19 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $199.53 | $257.04 | $257.04 |
Where Colorado sits
The same service costs 56.2 times more in Nebraska than in Montana. 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· 5th of 51
$2,344
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.