How much rates vary
Facilitymedian $646 · 10th to 90th $209 to $6,918Professionalmedian $178 · 10th to 90th $120 to $275
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $69.18 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $64.57 | $107.15 |
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 $123.03 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $123.03 | $162.18 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $74.13 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $89.13 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $162.18 | $186.21 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $89.13 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $100.00 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $234.42 | Facility | None | $120.23 | $169.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $323.59 | Professional | None | $141.25 | $208.93 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $95.50 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $70.79 | $107.15 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $309.03 | Facility | None | $147.91 | $275.42 | $309.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $104.71 | $104.71 | $147.91 |
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 $186.21 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $186.21 | $239.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $141.25 | $239.88 |
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 $54.95 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $23.99 | $25.70 |
Where Colorado sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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
$209
WI $417VA $110
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.