How much rates vary
Facilitymedian $617 · 10th to 90th $219 to $3,162Professionalmedian $234 · 10th to 90th $174 to $363
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 $223.87 Median $3,235.94 Typical High $8,912.51 | Facility | None | $223.87 | $3,235.94 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $162.18 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $74.13 | $79.43 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $97.72 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $177.83 | $239.88 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $107.15 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $131.83 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $194.98 | $245.47 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $112.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $131.83 | $165.96 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $380.19 | Facility | None | $158.49 | $213.80 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $309.03 | Professional | None | $144.54 | $208.93 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $102.33 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $74.13 | $109.65 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $316.23 | Facility | None | $151.36 | $281.84 | $316.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $104.71 | $104.71 | $151.36 |
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 $199.53 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $199.53 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $112.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $141.25 | $234.42 |
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 $79.43 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $32.36 | $35.48 | $37.15 |
Where Colorado sits
The same service costs 4.3 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· 17th of 51
$251
WI $562HI $132
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.