How much rates vary
Facilitymedian $316 · 10th to 90th $69 to $912Professionalmedian $174 · 10th to 90th $59 to $501
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 $112.20 Median $141.25 Typical High $251.19 | Facility | None | $112.20 | $141.25 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $194.98 Typical High $389.05 | Facility | TC · Technical part | $85.11 | $194.98 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $91.20 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $26.92 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $85.11 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,380.38 | Facility | None | $660.69 | $776.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $158.49 | $309.03 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $36.31 | $69.18 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $123.03 | $239.88 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $338.84 | Facility | None | $61.66 | $109.65 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $72.44 Typical High $223.87 | Professional | None (both parts) | $43.65 | $72.44 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $89.13 | Professional | 26 · Professional part | $16.98 | $21.38 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $54.95 Typical High $144.54 | Professional | TC · Technical part | $25.12 | $54.95 | $144.54 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $162.18 | Facility | None | $100.00 | $131.83 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $602.56 | Professional | None | $173.78 | $204.17 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $40.74 | $48.98 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $457.09 | Professional | TC · Technical part | $131.83 | $158.49 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $302.00 | Facility | None | $144.54 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $363.08 | Professional | None (both parts) | $123.03 | $128.82 | $363.08 |
United Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $891.25 | Facility | None | $741.31 | $776.25 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $89.13 Typical High $257.04 | Professional | None (both parts) | $57.54 | $89.13 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $75.86 | Professional | 26 · Professional part | $20.89 | $25.12 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $33.88 | $69.18 | $186.21 |
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 $45.71 Median $54.95 Typical High $77.62 | Professional | 52 · Reduced service | $45.71 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.39 Typical High $30.90 | Professional | 53 · Discontinued | $18.20 | $22.39 | $30.90 |
Where Colorado sits
The same service costs 5.2 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· 11th of 51
$186
AK $309AL $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.