How much rates vary
Facilitymedian $135 · 10th to 90th $117 to $575Professionalmedian $155 · 10th to 90th $105 to $257
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $97.72 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $54.95 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $50.12 | $69.18 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $117.49 | $181.97 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $81.28 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $107.15 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $93.33 | $158.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $70.79 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $38.90 | $87.10 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $177.83 | Facility | None | $109.65 | $125.89 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $275.42 | Professional | None | $125.89 | $177.83 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $74.13 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $102.33 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $263.03 | Facility | None | $125.89 | $229.09 | $263.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $89.13 | $125.89 | $177.83 |
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 $102.33 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $102.33 | $147.91 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $70.79 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $44.67 | $85.11 | $147.91 |
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 $52.48 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $24.55 | $24.55 |
Where Colorado sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 14th of 51
$155
AK $282TX $72.44
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.