How much rates vary
Facilitymedian $120 · 10th to 90th $93 to $562Professionalmedian $120 · 10th to 90th $83 to $195
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $79.43 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $41.69 | $47.86 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $38.02 | $48.98 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $87.10 | $141.25 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $70.79 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $74.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $83.18 | $117.49 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $61.66 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $33.88 | $57.54 | $85.11 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $138.04 | Facility | None | $87.10 | $102.33 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $208.93 | Professional | None | $93.33 | $134.90 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $64.57 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $69.18 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $199.53 | Facility | None | $93.33 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $69.18 | $93.33 | $138.04 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $676.08 | Facility | None | $562.34 | $588.84 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $74.13 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $61.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $34.67 | $52.48 | $91.20 |
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 $40.74 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.05 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$120
AK $219AL $67.61
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.