How much rates vary
Facilitymedian $126 · 10th to 90th $55 to $234Professionalmedian $132 · 10th to 90th $55 to $282
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 $85.11 Median $128.82 Typical High $194.98 | Facility | None | $85.11 | $128.82 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $309.03 | Facility | TC · Technical part | $66.07 | $117.49 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $72.44 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $26.30 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $87.10 | $120.23 |
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 $117.49 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $117.49 | $229.09 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $26.30 | $51.29 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $177.83 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $263.03 | Facility | None | $48.98 | $95.50 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $177.83 | Professional | None (both parts) | $43.65 | $53.70 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $48.98 | Professional | 26 · Professional part | $11.48 | $13.49 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $138.04 | Professional | TC · Technical part | $32.36 | $41.69 | $138.04 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $109.65 Typical High $158.49 | Facility | None | $77.62 | $109.65 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $457.09 | Professional | None | $138.04 | $165.96 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $102.33 | Professional | 26 · Professional part | $30.90 | $36.31 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $128.82 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $213.80 Typical High $239.88 | Facility | None | $114.82 | $213.80 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $281.84 | Professional | None (both parts) | $95.50 | $102.33 | $281.84 |
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 $56.23 Median $67.61 Typical High $218.78 | Professional | None (both parts) | $56.23 | $67.61 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $54.95 | Professional | 26 · Professional part | $15.49 | $16.98 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $162.18 | Professional | TC · Technical part | $40.74 | $52.48 | $162.18 |
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 $36.31 Median $42.66 Typical High $67.61 | Professional | 52 · Reduced service | $36.31 | $42.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $26.92 | Professional | 53 · Discontinued | $14.45 | $17.38 | $26.92 |
Where Colorado sits
The same service costs 5.5 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· 19th of 51
$129
AK $269AL $48.98
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.