How much rates vary
Facilitymedian $132 · 10th to 90th $78 to $275Professionalmedian $191 · 10th to 90th $63 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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $102.33 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $27.54 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $95.50 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $234.42 | Facility | None | $112.20 | $131.83 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $169.82 | $323.59 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $38.90 | $75.86 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $128.82 | $251.19 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $120.23 Typical High $380.19 | Facility | None | $70.79 | $120.23 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $77.62 Typical High $245.47 | Professional | None (both parts) | $43.65 | $77.62 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $83.18 | Professional | 26 · Professional part | $15.49 | $19.50 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $61.66 Typical High $177.83 | Professional | TC · Technical part | $28.84 | $61.66 | $177.83 |
Denver HMP Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $275.42 | Facility | None | $120.23 | $144.54 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $676.08 | Professional | None | $186.21 | $223.87 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $147.91 | Professional | 26 · Professional part | $42.66 | $51.29 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $501.19 | Professional | TC · Technical part | $144.54 | $173.78 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $288.40 Typical High $331.13 | Facility | None | $154.88 | $288.40 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $407.38 | Professional | None (both parts) | $138.04 | $141.25 | $407.38 |
United Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $275.42 | Facility | None | $229.09 | $239.88 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $100.00 Typical High $281.84 | Professional | None (both parts) | $61.66 | $100.00 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $81.28 | Professional | 26 · Professional part | $21.38 | $23.99 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $77.62 Typical High $199.53 | Professional | TC · Technical part | $40.74 | $77.62 | $199.53 |
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 $51.29 Median $61.66 Typical High $75.86 | Professional | 52 · Reduced service | $51.29 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $20.42 | $24.55 | $30.20 |
Where Colorado sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 16th of 51
$170
AK $331AL $57.54
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.