How much rates vary
Facilitymedian $955 · 10th to 90th $200 to $3,981Professionalmedian $275 · 10th to 90th $174 to $447
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 $275.42 Median $3,311.31 Typical High $8,709.64 | Facility | None | $275.42 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $416.87 | Professional | None (both parts) | $162.18 | $173.78 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $134.90 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $234.42 | $331.13 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $64.57 | $95.50 |
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 $50.12 Median $2,511.89 Typical High $2,691.53 | Facility | None | $50.12 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $158.49 | $245.47 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $58.88 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $173.78 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $407.38 | Facility | None | $162.18 | $223.87 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $338.84 | Professional | None | $162.18 | $229.09 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $56.23 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $173.78 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $338.84 | Facility | None | $162.18 | $302.00 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $114.82 | $162.18 | $316.23 |
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 $165.96 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $165.96 | $234.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $63.10 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $177.83 | $295.12 |
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 $87.10 Median $87.10 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | 53 · Discontinued | $34.67 | $34.67 | $41.69 |
Where Colorado sits
The same service costs 5.6 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· 9th of 51
$295
AK $759TX $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.