How much rates vary
Facilitymedian $339 · 10th to 90th $240 to $933Professionalmedian $302 · 10th to 90th $204 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $269.15 | Professional | None (both parts) | $186.21 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $50.12 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $138.04 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $229.09 | $323.59 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $75.86 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $245.47 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $194.98 | $302.00 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $151.36 | $229.09 | $389.05 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $380.19 | Facility | None | $186.21 | $309.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $575.44 | Professional | None | $269.15 | $389.05 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $72.44 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $316.23 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $549.54 | Facility | None | $257.04 | $478.63 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $190.55 | $257.04 | $501.19 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,122.02 | Facility | None | $933.25 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $199.53 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $223.87 | $346.74 |
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 $93.33 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $93.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $37.15 | $53.70 | $53.70 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 12th of 51
$302
AK $513FL $174
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.