How much rates vary
Facilitymedian $240 · 10th to 90th $191 to $417Professionalmedian $269 · 10th to 90th $191 to $427
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $169.82 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $93.33 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $97.72 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $194.98 | $269.15 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $144.54 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $194.98 | $257.04 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $97.72 | $128.82 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $131.83 | $251.19 |
Denver HMP Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $389.05 | Facility | None | $190.55 | $239.88 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $467.74 | Professional | None | $234.42 | $309.03 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $123.03 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $181.97 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $398.11 Typical High $457.09 | Facility | None | $218.78 | $398.11 | $457.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $218.78 | $269.15 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $269.15 | $354.81 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $91.20 | $123.03 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $229.09 | $371.54 |
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 $85.11 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $38.02 | $42.66 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in New York. 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· 23rd of 51
$269
AK $537NY $174
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.