How much rates vary
Facilitymedian $1,698 · 10th to 90th $417 to $6,918Professionalmedian $575 · 10th to 90th $309 to $1,000
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 $302.00 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $302.00 | $416.87 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $91.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $323.59 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $1,096.48 | Professional | None (both parts) | $467.74 | $724.44 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $97.72 | $144.54 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $575.44 Typical High $870.96 | Professional | TC · Technical part | $371.54 | $575.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $245.47 | $512.86 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $89.13 | $125.89 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $162.18 | $371.54 | $660.69 |
Denver HMP Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $645.65 | Facility | None | $288.40 | $380.19 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $912.01 | Professional | None | $407.38 | $588.84 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $131.83 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $316.23 | $446.68 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $870.96 | Facility | None | $407.38 | $758.58 | $870.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $316.23 | $416.87 | $630.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,754.23 | Facility | None | $758.58 | $1,513.56 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $239.88 | $446.68 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $87.10 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $186.21 | $338.84 | $676.08 |
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 $186.21 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $83.18 | $97.72 |
Where Colorado sits
The same service costs 6.5 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· 13th of 51
$603
AK $1,413KY $219
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.