How much rates vary
Facilitymedian $275 · 10th to 90th $48 to $1,380Professionalmedian $155 · 10th to 90th $71 to $389
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $89.13 | $89.13 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $30.90 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $117.49 | Professional | TC · Technical part | $56.23 | $57.54 | $117.49 |
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 $123.03 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $123.03 | $239.88 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $43.65 | $85.11 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $79.43 | $154.88 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $100.00 Typical High $229.09 | Facility | None | $41.69 | $100.00 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $239.88 | Professional | None (both parts) | $56.23 | $70.79 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $100.00 | Professional | 26 · Professional part | $19.95 | $27.54 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $147.91 | Professional | TC · Technical part | $36.31 | $42.66 | $147.91 |
Denver HMP Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $223.87 | Facility | None | $89.13 | $125.89 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $478.63 | Professional | None | $144.54 | $169.82 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $165.96 | Professional | 26 · Professional part | $50.12 | $58.88 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $112.20 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $251.19 | Facility | None | $120.23 | $223.87 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $100.00 | $107.15 | $288.40 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,862.09 | Facility | None | $1,548.82 | $1,659.59 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $288.40 | Professional | None (both parts) | $70.79 | $93.33 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $107.15 | Professional | 26 · Professional part | $25.12 | $36.31 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $173.78 | Professional | TC · Technical part | $46.77 | $58.88 | $173.78 |
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 $44.67 Median $44.67 Typical High $87.10 | Professional | 52 · Reduced service | $44.67 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $35.48 | Professional | 53 · Discontinued | $17.78 | $17.78 | $35.48 |
Where Colorado sits
The same service costs 4.5 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· 14th of 51
$166
AK $316AL $70.79
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.