How much rates vary
Facilitymedian $363 · 10th to 90th $33 to $1,549Professionalmedian $72 · 10th to 90th $47 to $110
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 $43.65 Median $61.66 Typical High $91.20 | Facility | None | $43.65 | $61.66 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $43.65 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $30.90 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.42 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $20.42 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $53.70 | $79.43 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $46.77 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $34.67 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $758.58 | Facility | None | $25.70 | $33.11 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $50.12 | $70.79 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $41.69 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $38.02 | Professional | TC · Technical part | $17.38 | $26.92 | $38.02 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $79.43 | Facility | None | $43.65 | $60.26 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $107.15 | Professional | None | $51.29 | $72.44 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $40.74 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $30.90 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $107.15 | Facility | None | $32.36 | $51.29 | $107.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $36.31 | $51.29 | $100.00 |
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 $53.70 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $53.70 | $69.18 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $42.66 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $25.70 | $40.74 |
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 $21.88 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $8.71 | $10.72 |
Where Colorado sits
The same service costs 6.5 times more in Minnesota 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
$75.86
MN $295KY $45.71
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.