How much rates vary
Facilitymedian $182 · 10th to 90th $42 to $363Professionalmedian $115 · 10th to 90th $46 to $302
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $56.23 | $66.07 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $14.45 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $51.29 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $380.19 | Facility | None | $181.97 | $213.80 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $95.50 | $186.21 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $39.81 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $74.13 | $144.54 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $91.20 Typical High $204.17 | Facility | None | $38.02 | $91.20 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $158.49 | Professional | None (both parts) | $38.02 | $45.71 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $43.65 | Professional | 26 · Professional part | $9.55 | $11.22 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $117.49 | Professional | TC · Technical part | $28.18 | $34.67 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $138.04 | Facility | None | $66.07 | $93.33 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $363.08 | Professional | None | $102.33 | $123.03 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $77.62 | Professional | 26 · Professional part | $22.91 | $26.92 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $281.84 | Professional | TC · Technical part | $81.28 | $95.50 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $181.97 | Facility | None | $85.11 | $158.49 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $218.78 | Professional | None (both parts) | $74.13 | $75.86 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $194.98 | Professional | None (both parts) | $52.48 | $58.88 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $45.71 | Professional | 26 · Professional part | $11.75 | $14.13 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $151.36 | Professional | TC · Technical part | $38.90 | $45.71 | $151.36 |
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 $28.18 Median $33.11 Typical High $58.88 | Professional | 52 · Reduced service | $28.18 | $33.11 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $23.44 | Professional | 53 · Discontinued | $11.22 | $13.18 | $23.44 |
Where Colorado sits
The same service costs 4.0 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· 16th of 51
$117
AK $234AL $58.88
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.