How much rates vary
Facilitymedian $617 · 10th to 90th $200 to $3,311Professionalmedian $339 · 10th to 90th $229 to $525
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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $1,148.15 | Professional | None (both parts) | $218.78 | $239.88 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $75.86 | $77.62 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $151.36 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $575.44 | Professional | None (both parts) | $275.42 | $389.05 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $123.03 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $263.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $269.15 Typical High $1,659.59 | Facility | None | $154.88 | $269.15 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $234.42 | $309.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $109.65 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $154.88 | $208.93 | $281.84 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $295.12 Typical High $512.86 | Facility | None | $218.78 | $295.12 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $457.09 | Professional | None | $208.93 | $288.40 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $107.15 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $181.97 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $436.52 | Facility | None | $190.55 | $208.93 | $436.52 |
Select Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $144.54 | $208.93 | $407.38 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $239.88 | $323.59 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $112.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $208.93 | $309.03 |
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 $107.15 Median $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $43.65 | $54.95 |
Where Colorado sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 12th of 51
$355
WI $708UT $135
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.