How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,344 to $32,359Professionalmedian $1,288 · 10th to 90th $871 to $3,020
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 $1,096.48 Median $6,025.60 Typical High $36,307.81 | Facility | None | $1,096.48 | $6,025.60 | $36,307.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $870.96 Typical High $5,495.41 | Professional | None (both parts) | $831.76 | $870.96 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $660.69 Typical High $1,000.00 | Professional | 26 · Professional part | $616.60 | $660.69 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $218.78 | $223.87 | $309.03 |
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 $912.01 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $912.01 | $1,202.26 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $891.25 Typical High $1,412.54 | Professional | 26 · Professional part | $676.08 | $891.25 | $1,412.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $309.03 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,025.60 Typical High $7,943.28 | Facility | None | $4,365.16 | $6,025.60 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,258.93 Typical High $1,659.59 | Professional | None (both parts) | $954.99 | $1,258.93 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $933.25 Typical High $1,258.93 | Professional | 26 · Professional part | $724.44 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $234.42 | $316.23 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $2,754.23 | Facility | None | $870.96 | $1,096.48 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,370.32 Median $10,715.19 Typical High $26,302.68 | Professional | None | $5,370.32 | $10,715.19 | $26,302.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $851.14 Typical High $2,041.74 | Professional | 26 · Professional part | $575.44 | $851.14 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $9,549.93 Typical High $13,489.63 | Professional | TC · Technical part | $4,897.79 | $9,549.93 | $13,489.63 |
Select Health Setting Facility Modifier None Typical Low $6,456.54 Median $7,943.28 Typical High $16,595.87 | Facility | None | $6,456.54 | $7,943.28 | $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 $2,511.89 Median $6,025.60 Typical High $16,218.10 | Facility | None | $2,511.89 | $6,025.60 | $16,218.10 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,479.11 Typical High $2,344.23 | Professional | None (both parts) | $1,148.15 | $1,479.11 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $933.25 Typical High $1,548.82 | Professional | 26 · Professional part | $741.31 | $933.25 | $1,548.82 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $512.86 Typical High $851.14 | Professional | TC · Technical part | $407.38 | $512.86 | $851.14 |
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 $407.38 Median $436.52 Typical High $467.74 | Professional | 52 · Reduced service | $407.38 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $186.21 | Professional | 53 · Discontinued | $165.96 | $173.78 | $186.21 |
Where Colorado sits
The same service costs 5.2 times more in Louisiana 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· 21st of 51
$1,660
LA $4,677NY $891
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.