How much rates vary
Facilitymedian $155 · 10th to 90th $123 to $933Professionalmedian $123 · 10th to 90th $115 to $240
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 $190.55 | Facility | None | $123.03 | $123.03 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $112.20 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $61.66 | $70.79 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $46.77 | $51.29 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $114.82 | $114.82 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $66.07 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $50.12 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $123.03 | $169.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $93.33 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $74.13 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $173.78 | Facility | None | $123.03 | $141.25 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $269.15 | Professional | None | $123.03 | $173.78 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $97.72 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $77.62 | $120.23 |
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 $89.13 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $89.13 | $123.03 | $177.83 |
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 $117.49 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $117.49 | $169.82 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $93.33 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $72.44 | $117.49 |
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 $63.10 | Professional | 52 · Reduced service | $52.48 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $24.55 | $25.12 |
Where Colorado sits
The same service costs 3.8 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· 34th of 51
$123
AK $275UT $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.