How much rates vary
Facilitymedian $1,995 · 10th to 90th $550 to $40,738Professionalmedian $71 · 10th to 90th $49 to $112
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 $48.98 Median $3,235.94 Typical High $8,912.51 | Facility | None | $48.98 | $3,235.94 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $48.98 Typical High $5,495.41 | Professional | None (both parts) | $47.86 | $48.98 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $38.90 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.47 Typical High $11.22 | Professional | TC · Technical part | $9.55 | $10.47 | $11.22 |
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 $52.48 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $52.48 | $69.18 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $54.95 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.79 Typical High $24.55 | Professional | TC · Technical part | $11.22 | $14.79 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $4,168.69 Typical High $6,165.95 | Facility | None | $1,230.27 | $4,168.69 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $67.61 | $75.86 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $60.26 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.85 Typical High $22.91 | Professional | TC · Technical part | $13.80 | $15.85 | $22.91 |
Denver HMP Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $91.20 | Facility | None | $44.67 | $66.07 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $5,754.40 | Professional | None | $33.88 | $50.12 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $117.49 | Professional | 26 · Professional part | $34.67 | $51.29 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $0.76 Median $1.12 Typical High $2.51 | Professional | TC · Technical part | $0.76 | $1.12 | $2.51 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $74.13 | Facility | None | $35.48 | $66.07 | $74.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | None (both parts) | $25.12 | $25.12 | $35.48 |
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 $64.57 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $64.57 | $83.18 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $61.66 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.89 Typical High $36.31 | Professional | TC · Technical part | $15.49 | $20.89 | $36.31 |
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 $23.44 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $9.55 | $9.77 | $10.96 |
Where Colorado sits
The same service costs 51.3 times more in Oklahoma 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
$87.10
OK $2,570NY $50.12
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.