How much rates vary
Facilitymedian $1,862 · 10th to 90th $251 to $40,738Professionalmedian $339 · 10th to 90th $240 to $2,951
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 $6,456.54 Typical High $36,307.81 | Facility | None | $2,570.40 | $6,456.54 | $36,307.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $6,025.60 | Professional | None (both parts) | $223.87 | $239.88 | $6,025.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $165.96 | $177.83 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $57.54 | $61.66 | $79.43 |
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 $251.19 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $251.19 | $331.13 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $245.47 Typical High $380.19 | Professional | 26 · Professional part | $186.21 | $245.47 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $85.11 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $251.19 | $338.84 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $251.19 Typical High $338.84 | Professional | 26 · Professional part | $190.55 | $251.19 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $85.11 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $2,951.21 | Facility | None | $239.88 | $302.00 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $10,000.00 Typical High $13,803.84 | Professional | None | $5,128.61 | $10,000.00 | $13,803.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $234.42 Typical High $630.96 | Professional | 26 · Professional part | $158.49 | $234.42 | $630.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $9,772.37 Typical High $13,489.63 | Professional | TC · Technical part | $5,011.87 | $9,772.37 | $13,489.63 |
Select Health Setting Facility Modifier None Typical Low $7,585.78 Median $14,125.38 Typical High $15,848.93 | Facility | None | $7,585.78 | $14,125.38 | $15,848.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,370.32 Median $5,370.32 Typical High $7,585.78 | Professional | None (both parts) | $5,370.32 | $5,370.32 | $7,585.78 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $39,810.72 | Facility | None | $239.88 | $616.60 | $39,810.72 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $416.87 Typical High $3,019.95 | Professional | None (both parts) | $190.55 | $416.87 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $144.54 | $269.15 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $109.65 Typical High $2,691.53 | Professional | TC · Technical part | $44.67 | $109.65 | $2,691.53 |
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 $112.20 Median $120.23 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $47.86 | $51.29 |
Where Colorado sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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
$389
WI $1,047MD $229
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.