How much rates vary
Facilitymedian $132 · 10th to 90th $91 to $417Professionalmedian $102 · 10th to 90th $87 to $178
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $91.20 Median $117.49 Typical High $165.96 | Facility | None | $91.20 | $117.49 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $83.18 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $11.75 | $12.59 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $79.43 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $87.10 | $87.10 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $12.30 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $74.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $512.86 | Facility | None | $117.49 | $128.82 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $89.13 | $128.82 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $12.59 | $16.60 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $114.82 | $181.97 |
Denver HMP Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $173.78 | Facility | None | $91.20 | $123.03 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $173.78 | Professional | None | $93.33 | $123.03 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $12.59 | $16.60 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $107.15 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $181.97 | Facility | None | $87.10 | $162.18 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $70.79 | $87.10 | $162.18 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $87.10 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $16.98 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $109.65 | $165.96 |
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 $38.02 Median $45.71 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $18.62 | Professional | 53 · Discontinued | $15.49 | $18.20 | $18.62 |
Where Colorado sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 28th of 51
$105
AK $209UT $63.10
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.