How much rates vary
Facilitymedian $339 · 10th to 90th $83 to $708Professionalmedian $191 · 10th to 90th $87 to $417
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 $134.90 Median $169.82 Typical High $309.03 | Facility | None | $134.90 | $169.82 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $234.42 Typical High $478.63 | Facility | TC · Technical part | $102.33 | $234.42 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $131.83 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $38.90 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $102.33 | $190.55 |
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 $190.55 Median $213.80 Typical High $645.65 | Professional | None (both parts) | $190.55 | $213.80 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $147.91 | Professional | 26 · Professional part | $42.66 | $48.98 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $165.96 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $407.38 | Facility | None | $75.86 | $165.96 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $302.00 | Professional | None (both parts) | $69.18 | $89.13 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $91.20 | Professional | 26 · Professional part | $19.95 | $28.18 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $213.80 | Professional | TC · Technical part | $43.65 | $67.61 | $213.80 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $245.47 | Facility | None | $123.03 | $169.82 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $389.05 | Professional | None | $177.83 | $251.19 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $58.88 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $194.98 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $371.54 | Facility | None | $177.83 | $331.13 | $371.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $125.89 | $177.83 | $436.52 |
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 $93.33 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $93.33 | $109.65 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $24.55 | $33.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $257.04 | Professional | TC · Technical part | $57.54 | $83.18 | $257.04 |
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 $56.23 Median $67.61 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $67.61 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $40.74 | Professional | 53 · Discontinued | $22.91 | $26.92 | $40.74 |
Where Colorado sits
The same service costs 4.9 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· 20th of 51
$191
AK $468AL $95.50
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.