How much rates vary
Facilitymedian $59 · 10th to 90th $23 to $117Professionalmedian $45 · 10th to 90th $20 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 $25.70 Median $47.86 Typical High $95.50 | Facility | None | $25.70 | $47.86 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $46.77 Typical High $95.50 | Facility | TC · Technical part | $20.42 | $46.77 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $21.88 | $30.90 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $5.75 Typical High $9.33 | Professional | 26 · Professional part | $4.68 | $5.75 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $54.95 | Professional | TC · Technical part | $16.98 | $22.91 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $117.49 | Facility | None | $56.23 | $66.07 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $34.67 | $67.61 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $6.76 | $13.18 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $27.54 | $53.70 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $29.51 Typical High $81.28 | Facility | None | $15.14 | $29.51 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $22.39 Typical High $69.18 | Professional | None (both parts) | $15.14 | $22.39 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.63 Typical High $17.38 | Professional | 26 · Professional part | $2.88 | $3.63 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $18.62 Typical High $53.70 | Professional | TC · Technical part | $11.48 | $18.62 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $79.43 | Facility | None | $25.70 | $36.31 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $134.90 | Professional | None | $40.74 | $48.98 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $26.30 | Professional | 26 · Professional part | $8.13 | $9.77 | $26.30 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $109.65 | Professional | TC · Technical part | $32.36 | $38.90 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $70.79 | Facility | None | $33.88 | $63.10 | $70.79 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.20 Typical High $85.11 | Professional | None (both parts) | $28.84 | $30.20 | $85.11 |
United Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Facility | None | $162.18 | $169.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $29.51 Typical High $64.57 | Professional | None (both parts) | $19.05 | $29.51 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $4.47 Typical High $14.79 | Professional | 26 · Professional part | $3.89 | $4.47 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $14.45 | $25.12 | $50.12 |
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 $10.96 Median $12.88 Typical High $31.62 | Professional | 52 · Reduced service | $10.96 | $12.88 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.13 Typical High $12.59 | Professional | 53 · Discontinued | $4.37 | $5.13 | $12.59 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 18th of 51
$47.86
AK $123AR $28.18
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.