How much rates vary
Facilitymedian $245 · 10th to 90th $60 to $501Professionalmedian $145 · 10th to 90th $62 to $316
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 $100.00 Median $100.00 Typical High $154.88 | Facility | None | $100.00 | $100.00 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $85.11 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $24.55 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $74.13 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $524.81 | Facility | None | $245.47 | $295.12 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $489.78 | Professional | None (both parts) | $144.54 | $154.88 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $117.49 | Professional | 26 · Professional part | $33.88 | $38.90 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $117.49 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $120.23 Typical High $295.12 | Facility | None | $54.95 | $120.23 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $66.07 Typical High $208.93 | Professional | None (both parts) | $43.65 | $66.07 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $51.29 | Professional | 26 · Professional part | $12.30 | $16.60 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $158.49 | Professional | TC · Technical part | $31.62 | $50.12 | $158.49 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $186.21 | Facility | None | $100.00 | $120.23 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $338.84 | Professional | None | $131.83 | $190.55 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $45.71 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $144.54 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $281.84 | Facility | None | $131.83 | $245.47 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $93.33 | $131.83 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $251.19 | Professional | None (both parts) | $58.88 | $85.11 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $67.61 | Professional | 26 · Professional part | $16.60 | $21.88 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $63.10 Typical High $194.98 | Professional | TC · Technical part | $42.66 | $63.10 | $194.98 |
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 $42.66 Median $50.12 Typical High $79.43 | Professional | 52 · Reduced service | $42.66 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $31.62 | Professional | 53 · Discontinued | $16.98 | $19.95 | $31.62 |
Where Colorado sits
The same service costs 5.5 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· 20th of 51
$145
AK $380AL $69.18
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.