How much rates vary
Facilitymedian $204 · 10th to 90th $170 to $550Professionalmedian $219 · 10th to 90th $158 to $339
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 $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $141.25 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $38.02 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $131.83 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $186.21 | $251.19 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $56.23 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $194.98 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $147.91 | $204.17 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $38.90 | $51.29 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $154.88 | $288.40 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $245.47 | Facility | None | $154.88 | $186.21 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $331.13 | Professional | None | $173.78 | $229.09 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $50.12 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $177.83 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $338.84 | Facility | None | $162.18 | $302.00 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $128.82 | $162.18 | $302.00 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $151.36 | $199.53 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $48.98 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $151.36 | $251.19 |
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 $74.13 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $33.88 | $37.15 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in Utah. 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
$219
AK $380UT $129
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.