How much rates vary
Facilitymedian $3,311 · 10th to 90th $646 to $60,256Professionalmedian $631 · 10th to 90th $468 to $1,202
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 $12,882.50 | Facility | None | $2,570.40 | $5,495.41 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $575.44 | Professional | None (both parts) | $436.52 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $204.17 | Professional | 26 · Professional part | $173.78 | $186.21 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $316.23 | Professional | TC · Technical part | $257.04 | $288.40 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $43,651.58 Median $60,255.96 Typical High $60,255.96 | Facility | None | $43,651.58 | $60,255.96 | $60,255.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $489.78 | $660.69 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $257.04 Typical High $380.19 | Professional | 26 · Professional part | $190.55 | $257.04 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $602.56 | Professional | TC · Technical part | $302.00 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $524.81 | $602.56 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $239.88 Typical High $380.19 | Professional | 26 · Professional part | $208.93 | $239.88 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $562.34 | Professional | TC · Technical part | $316.23 | $363.08 | $562.34 |
Denver HMP Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $707.95 | Facility | None | $426.58 | $575.44 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,023.29 | $1,513.56 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $380.19 | Professional | 26 · Professional part | $144.54 | $223.87 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $2,290.87 | Professional | TC · Technical part | $891.25 | $1,288.25 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $2,570.40 | Facility | None | $1,202.26 | $2,238.72 | $2,570.40 |
Select Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,202.26 Typical High $1,778.28 | Professional | None (both parts) | $933.25 | $1,202.26 | $1,778.28 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $173.78 | $251.19 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,047.13 Typical High $1,513.56 | Professional | TC · Technical part | $794.33 | $1,047.13 | $1,513.56 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,754.23 Typical High $67,608.30 | Facility | None | $954.99 | $2,754.23 | $67,608.30 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $512.86 | $630.96 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $199.53 | $245.47 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $398.11 | $588.84 |
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 $213.80 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $213.80 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $87.10 | $95.50 | $102.33 |
Where Colorado sits
The same service costs 3.0 times more in Wisconsin than in North 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· 16th of 51
$646
WI $1,000NC $331
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.