How much rates vary
Facilitymedian $59 · 10th to 90th $17 to $115Professionalmedian $66 · 10th to 90th $25 to $178
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 $53.70 Typical High $117.49 | Facility | None | $25.70 | $53.70 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $34.67 | $41.69 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $22.91 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $19.50 Typical High $26.92 | Professional | TC · Technical part | $11.22 | $19.50 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $114.82 | Facility | None | $54.95 | $64.57 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $57.54 | $109.65 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $30.90 | $60.26 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $26.30 | $50.12 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $28.18 Typical High $75.86 | Facility | None | $14.13 | $28.18 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $27.54 Typical High $95.50 | Professional | None (both parts) | $17.38 | $27.54 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $69.18 | Professional | 26 · Professional part | $13.18 | $15.49 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $11.75 Typical High $39.81 | Professional | TC · Technical part | $4.47 | $11.75 | $39.81 |
Denver HMP Setting Facility Modifier None Typical Low $41.69 Median $53.70 Typical High $100.00 | Facility | None | $41.69 | $53.70 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $218.78 | Professional | None | $66.07 | $79.43 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $117.49 | Professional | 26 · Professional part | $35.48 | $42.66 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $102.33 | Professional | TC · Technical part | $30.90 | $37.15 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $117.49 | Facility | None | $56.23 | $102.33 | $117.49 |
Select Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $138.04 | Professional | None (both parts) | $46.77 | $50.12 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $112.20 | Professional | None (both parts) | $23.99 | $33.11 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $64.57 | Professional | 26 · Professional part | $17.38 | $19.50 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $15.14 Typical High $45.71 | Professional | TC · Technical part | $6.31 | $15.14 | $45.71 |
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 $17.78 Median $20.89 Typical High $27.54 | Professional | 52 · Reduced service | $17.78 | $20.89 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $8.32 | $10.96 |
Where Colorado sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 21st of 51
$58.88
AK $141LA $30.20
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.