How much rates vary
Facilitymedian $3,311 · 10th to 90th $646 to $40,738Professionalmedian $288 · 10th to 90th $204 to $724
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 $2,691.53 Median $5,495.41 Typical High $12,882.50 | Facility | None | $2,691.53 | $5,495.41 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $8,128.31 | Professional | None (both parts) | $194.98 | $204.17 | $8,128.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $131.83 | Professional | 26 · Professional part | $117.49 | $120.23 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $89.13 | Professional | TC · Technical part | $74.13 | $85.11 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,892.96 Median $30,199.52 Typical High $60,255.96 | Facility | None | $20,892.96 | $30,199.52 | $60,255.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $208.93 | $281.84 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $128.82 | $169.82 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $117.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $5,248.07 Typical High $34,673.69 | Facility | None | $1,513.56 | $5,248.07 | $34,673.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $218.78 | $288.40 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $131.83 | $173.78 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $117.49 | $151.36 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $426.58 | Facility | None | $186.21 | $251.19 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $10,471.29 Typical High $20,417.38 | Professional | None | $5,128.61 | $10,471.29 | $20,417.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $158.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5,128.61 Median $10,232.93 Typical High $13,803.84 | Professional | TC · Technical part | $5,128.61 | $10,232.93 | $13,803.84 |
Select Health Setting Facility Modifier None Typical Low $7,943.28 Median $14,791.08 Typical High $16,595.87 | Facility | None | $7,943.28 | $14,791.08 | $16,595.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,623.41 Median $5,623.41 Typical High $7,943.28 | Professional | None (both parts) | $5,623.41 | $5,623.41 | $7,943.28 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $39,810.72 | Facility | None | $676.08 | $1,513.56 | $39,810.72 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $234.42 | $295.12 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $295.12 | Professional | 26 · Professional part | $134.90 | $173.78 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $123.03 | $208.93 |
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 $95.50 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $44.67 | Professional | 53 · Discontinued | $38.90 | $40.74 | $44.67 |
Where Colorado sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 18th of 51
$389
OK $4,786HI $158
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.