How much rates vary
Facilitymedian $209 · 10th to 90th $126 to $501Professionalmedian $162 · 10th to 90th $135 to $275
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 $144.54 Median $186.21 Typical High $229.09 | Facility | None | $144.54 | $186.21 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $128.82 | $144.54 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $22.91 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $123.03 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $134.90 | $134.90 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $21.88 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $114.82 | $114.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $630.96 | Facility | None | $117.49 | $158.49 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $138.04 | $204.17 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $29.51 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $173.78 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $194.98 Typical High $257.04 | Facility | None | $144.54 | $194.98 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $281.84 | Professional | None | $151.36 | $199.53 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $30.20 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $169.82 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $295.12 | Facility | None | $141.25 | $257.04 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $112.20 | $141.25 | $257.04 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,122.02 | Facility | None | $933.25 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $134.90 | $199.53 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $29.51 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $169.82 | $251.19 |
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 $60.26 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $28.84 | $29.51 |
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· 30th of 51
$162
AK $316UT $95.50
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.