How much rates vary
Facilitymedian $617 · 10th to 90th $229 to $6,918Professionalmedian $324 · 10th to 90th $224 to $501
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 $223.87 Typical High $281.84 | Facility | None | $223.87 | $223.87 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $223.87 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $89.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $147.91 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $229.09 | $302.00 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $102.33 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $199.53 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $295.12 | $331.13 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $117.49 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $218.78 | $295.12 |
Denver HMP Setting Facility Modifier None Typical Low $223.87 Median $316.23 Typical High $398.11 | Facility | None | $223.87 | $316.23 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $741.31 | Professional | None | $234.42 | $346.74 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $120.23 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $223.87 | $478.63 |
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 $645.65 | Professional | None (both parts) | $331.13 | $416.87 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $120.23 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $281.84 | $478.63 |
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 $100.00 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $39.81 | $44.67 | $47.86 |
Where Colorado sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 20th of 51
$347
WI $776OR $182
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.