How much rates vary
Facilitymedian $339 · 10th to 90th $40 to $708Professionalmedian $191 · 10th to 90th $83 to $457
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $95.50 | $107.15 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $60.26 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $138.04 | Professional | TC · Technical part | $38.90 | $47.86 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $707.95 | Facility | None | $338.84 | $398.11 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $144.54 | $281.84 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $81.28 | $158.49 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $64.57 | $125.89 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $190.55 | Facility | None | $35.48 | $66.07 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $281.84 | Professional | None (both parts) | $64.57 | $97.72 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $162.18 | Professional | 26 · Professional part | $38.02 | $42.66 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $58.88 Typical High $154.88 | Professional | TC · Technical part | $25.12 | $58.88 | $154.88 |
Denver HMP Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $436.52 | Facility | None | $107.15 | $154.88 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $501.19 | Professional | None | $173.78 | $208.93 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $288.40 | Professional | 26 · Professional part | $95.50 | $114.82 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $79.43 | $93.33 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $309.03 | Facility | None | $144.54 | $269.15 | $309.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $354.81 | Professional | None (both parts) | $120.23 | $134.90 | $354.81 |
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 $75.86 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $75.86 | $141.25 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $169.82 | Professional | 26 · Professional part | $43.65 | $52.48 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $31.62 | $64.57 | $125.89 |
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 $47.86 Median $53.70 Typical High $128.82 | Professional | 52 · Reduced service | $47.86 | $53.70 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $51.29 | Professional | 53 · Discontinued | $19.05 | $21.38 | $51.29 |
Where Colorado sits
The same service costs 7.6 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
$191
AK $457AL $60.26
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.