How much rates vary
Facilitymedian $135 · 10th to 90th $107 to $1,622Professionalmedian $141 · 10th to 90th $100 to $302
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $54.95 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $104.71 | $162.18 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $61.66 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $104.71 | $141.25 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $53.70 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $83.18 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $154.88 | Facility | None | $107.15 | $125.89 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $346.74 Typical High $380.19 | Professional | None | $154.88 | $346.74 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $56.23 | $87.10 |
Select Health Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $83.18 | Facility | 26 · Professional part | $38.90 | $72.44 | $83.18 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $38.90 | $58.88 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,621.81 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $91.20 | $275.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $53.70 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $32.36 | $245.47 | $446.68 |
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 $45.71 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $18.20 | $21.38 | $21.38 |
Where Colorado sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 13th of 51
$141
HI $309KY $57.54
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.