How much rates vary
Facilitymedian $170 · 10th to 90th $123 to $316Professionalmedian $148 · 10th to 90th $123 to $257
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 $131.83 Median $158.49 Typical High $208.93 | Facility | None | $131.83 | $158.49 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $35.48 | Facility | 26 · Professional part | $22.39 | $28.84 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $173.78 | Facility | TC · Technical part | $109.65 | $128.82 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $123.03 | $131.83 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $22.39 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $109.65 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $125.89 | $125.89 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $21.38 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $104.71 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $125.89 | $181.97 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $154.88 | $245.47 |
Denver HMP Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $239.88 | Facility | None | $131.83 | $169.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $251.19 | Professional | None | $131.83 | $173.78 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $29.51 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $144.54 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $229.09 Typical High $257.04 | Facility | None | $123.03 | $229.09 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $102.33 | $123.03 | $229.09 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $123.03 | $181.97 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $29.51 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $151.36 | $223.87 |
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 $56.23 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.30 | $26.92 |
Where Colorado sits
The same service costs 4.0 times more in Minnesota 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· 29th of 51
$148
MN $380UT $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.