How much rates vary
Facilitymedian $120 · 10th to 90th $93 to $257Professionalmedian $93 · 10th to 90th $72 to $132
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $72.44 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $33.11 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $56.23 | $120.23 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $67.61 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $44.67 | $64.57 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $72.44 | $87.10 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $47.86 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $39.81 | $52.48 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $138.04 | Facility | None | $87.10 | $109.65 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $147.91 | Professional | None | $93.33 | $109.65 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $56.23 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $54.95 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $194.98 | Facility | None | $93.33 | $169.82 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $91.20 | $100.00 | $125.89 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $309.03 | Facility | None | $257.04 | $269.15 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $72.44 | $89.13 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $47.86 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $41.69 | $52.48 |
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 $36.31 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $36.31 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $14.45 | $19.50 | $19.50 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 17th of 51
$93.33
AK $229NJ $61.66
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.