How much rates vary
Facilitymedian $219 · 10th to 90th $148 to $933Professionalmedian $234 · 10th to 90th $155 to $380
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $147.91 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $29.51 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $123.03 | $144.54 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $190.55 | $295.12 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $45.71 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $251.19 | $380.19 |
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 $141.25 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $141.25 | $213.80 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $38.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $173.78 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $245.47 | Facility | None | $123.03 | $204.17 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $354.81 | Professional | None | $158.49 | $229.09 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $39.81 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $186.21 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $338.84 | Facility | None | $158.49 | $295.12 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $123.03 | $162.18 | $251.19 |
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 $131.83 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $131.83 | $199.53 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $38.02 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $154.88 | $257.04 |
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 $72.44 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $72.44 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $34.67 | $36.31 |
Where Colorado sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$234
AK $347NM $120
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.