How much rates vary
Facilitymedian $138 · 10th to 90th $110 to $224Professionalmedian $145 · 10th to 90th $110 to $224
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 $109.65 Median $138.04 Typical High $169.82 | Facility | None | $109.65 | $138.04 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $102.33 | $109.65 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $26.30 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $83.18 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $117.49 | $158.49 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $123.03 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $112.20 | $144.54 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $36.31 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $107.15 | $194.98 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $158.49 | Facility | None | $109.65 | $138.04 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $218.78 | Professional | None | $114.82 | $151.36 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $35.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $114.82 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $223.87 | Facility | None | $107.15 | $194.98 | $223.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $83.18 | $107.15 | $194.98 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $100.00 | $141.25 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $35.48 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $104.71 | $165.96 |
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 $47.86 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $21.88 | $24.55 |
Where Colorado sits
The same service costs 3.8 times more in Minnesota 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· 19th of 51
$145
MN $275UT $72.44
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.