How much rates vary
Facilitymedian $1,148 · 10th to 90th $219 to $40,738Professionalmedian $204 · 10th to 90th $115 to $676
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 $77.62 Median $5,495.41 Typical High $39,810.72 | Facility | None | $77.62 | $5,495.41 | $39,810.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $263.03 | Professional | None (both parts) | $77.62 | $97.72 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $181.97 | Professional | 26 · Professional part | $57.54 | $79.43 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $69.18 | Professional | TC · Technical part | $19.95 | $19.95 | $69.18 |
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 $123.03 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $123.03 | $162.18 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $123.03 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $31.62 | $41.69 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $138.04 | $257.04 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $194.98 Typical High $302.00 | Professional | 26 · Professional part | $102.33 | $194.98 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $32.36 | $64.57 | $100.00 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $109.65 Typical High $741.31 | Facility | None | $77.62 | $109.65 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $4,677.35 | Professional | None | $1,698.24 | $3,090.30 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $257.04 | Professional | 26 · Professional part | $50.12 | $74.13 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $3,019.95 Typical High $4,570.88 | Professional | TC · Technical part | $1,659.59 | $3,019.95 | $4,570.88 |
Select Health Setting Facility Modifier None Typical Low $2,290.87 Median $4,168.69 Typical High $4,786.30 | Facility | None | $2,290.87 | $4,168.69 | $4,786.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $2,290.87 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $2,290.87 |
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 $380.19 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $380.19 | $537.03 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $229.09 Typical High $398.11 | Professional | 26 · Professional part | $112.20 | $229.09 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $323.59 | $457.09 |
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 $38.90 Median $38.90 Typical High $112.20 | Professional | 52 · Reduced service | $38.90 | $38.90 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $44.67 | Professional | 53 · Discontinued | $15.49 | $15.49 | $44.67 |
Where Colorado sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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· 32nd of 51
$257
NE $724SC $151
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.