How much rates vary
Facilitymedian $479 · 10th to 90th $78 to $3,090Professionalmedian $240 · 10th to 90th $120 to $525
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $154.88 | $177.83 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $81.28 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $95.50 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $3,090.30 | Facility | None | $1,479.11 | $1,737.80 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $239.88 | $269.15 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $380.19 | Professional | 26 · Professional part | $109.65 | $125.89 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $144.54 Typical High $436.52 | Professional | TC · Technical part | $128.82 | $144.54 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $138.04 Typical High $380.19 | Facility | None | $69.18 | $138.04 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $407.38 | Professional | None (both parts) | $107.15 | $120.23 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $56.23 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $69.18 | $208.93 |
Denver HMP Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $407.38 | Facility | None | $177.83 | $251.19 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $588.84 | Professional | None | $229.09 | $323.59 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $151.36 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $169.82 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $478.63 | Facility | None | $229.09 | $426.58 | $478.63 |
Select Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $575.44 | Professional | None (both parts) | $158.49 | $229.09 | $575.44 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $4,265.80 | Facility | None | $3,548.13 | $3,715.35 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $436.52 | Professional | None (both parts) | $138.04 | $158.49 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $218.78 | Professional | 26 · Professional part | $63.10 | $70.79 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $91.20 | $234.42 |
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 $77.62 Median $87.10 Typical High $158.49 | Professional | 52 · Reduced service | $77.62 | $87.10 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | 53 · Discontinued | $30.90 | $35.48 | $63.10 |
Where Colorado sits
The same service costs 6.9 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· 22nd of 51
$240
AK $933AL $135
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.