How much rates vary
Facilitymedian $617 · 10th to 90th $251 to $3,162Professionalmedian $380 · 10th to 90th $288 to $603
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 $288.40 Median $3,235.94 Typical High $8,912.51 | Facility | None | $288.40 | $3,235.94 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $269.15 | $288.40 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $100.00 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $177.83 | $190.55 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $302.00 | $398.11 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $102.33 | $134.90 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $199.53 | $263.03 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $316.23 | $407.38 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $112.20 | $141.25 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $204.17 | $263.03 | $331.13 |
Denver HMP Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $616.60 | Facility | None | $263.03 | $354.81 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $457.09 | Professional | None | $199.53 | $346.74 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $128.82 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $213.80 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $457.09 Typical High $524.81 | Facility | None | $251.19 | $457.09 | $524.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $173.78 | $173.78 | $251.19 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $707.95 | Professional | None (both parts) | $331.13 | $416.87 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $109.65 | $141.25 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $281.84 | $467.74 |
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 $131.83 Median $144.54 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $52.48 | $58.88 | $61.66 |
Where Colorado sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 16th of 51
$398
WI $891HI $138
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.