How much rates vary
Facilitymedian $89 · 10th to 90th $45 to $162Professionalmedian $98 · 10th to 90th $39 to $209
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 $63.10 Median $81.28 Typical High $144.54 | Facility | None | $63.10 | $81.28 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $251.19 | Facility | TC · Technical part | $54.95 | $93.33 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $43.65 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $12.02 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $70.79 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $162.18 | Facility | None | $75.86 | $91.20 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $87.10 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $11.75 | $22.91 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $144.54 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $77.62 Typical High $213.80 | Facility | None | $39.81 | $77.62 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $131.83 | Professional | None (both parts) | $31.62 | $38.90 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.31 Typical High $26.30 | Professional | 26 · Professional part | $5.13 | $6.31 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $112.20 | Professional | TC · Technical part | $26.92 | $33.88 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $117.49 | Facility | None | $57.54 | $81.28 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $338.84 | Professional | None | $102.33 | $123.03 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $45.71 | Professional | 26 · Professional part | $13.80 | $16.60 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $295.12 | Professional | TC · Technical part | $89.13 | $104.71 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $208.93 | Professional | None (both parts) | $70.79 | $74.13 | $208.93 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $158.49 | Professional | None (both parts) | $41.69 | $50.12 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $25.12 | Professional | 26 · Professional part | $6.92 | $7.59 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $131.83 | Professional | TC · Technical part | $34.67 | $42.66 | $131.83 |
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 $26.30 Median $31.62 Typical High $48.98 | Professional | 52 · Reduced service | $26.30 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $19.50 | Professional | 53 · Discontinued | $10.72 | $12.59 | $19.50 |
Where Colorado sits
The same service costs 6.0 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· 20th of 51
$91.20
AK $209AL $34.67
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.