How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $40,738Professionalmedian $234 · 10th to 90th $170 to $575
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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $398.11 | Professional | None (both parts) | $162.18 | $169.82 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $120.23 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $48.98 | $54.95 |
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 $173.78 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $173.78 | $229.09 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $162.18 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $66.07 | $109.65 |
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 $181.97 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $181.97 | $234.42 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $229.09 | Professional | 26 · Professional part | $131.83 | $169.82 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $50.12 | $66.07 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $363.08 | Facility | None | $154.88 | $208.93 | $363.08 |
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 $251.19 | Professional | 26 · Professional part | $107.15 | $158.49 | $251.19 |
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 $186.21 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $186.21 | $239.88 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $288.40 | Professional | 26 · Professional part | $134.90 | $169.82 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $69.18 | $120.23 |
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 $79.43 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $33.88 | $36.31 |
Where Colorado sits
The same service costs 8.3 times more in Louisiana 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· 17th of 51
$309
LA $1,288HI $155
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.