How much rates vary
Facilitymedian $98 · 10th to 90th $81 to $186Professionalmedian $115 · 10th to 90th $79 to $191
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 $89.13 Median $89.13 Typical High $138.04 | Facility | None | $89.13 | $89.13 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $77.62 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $46.77 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $87.10 | $134.90 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $50.12 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $87.10 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $75.86 | $109.65 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $42.66 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $41.69 | $69.18 | $104.71 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $128.82 | Facility | None | $81.28 | $95.50 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $194.98 | Professional | None | $89.13 | $128.82 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $45.71 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $81.28 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $186.21 | Facility | None | $89.13 | $165.96 | $186.21 |
Select Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $64.57 | $89.13 | $128.82 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $309.03 | Facility | None | $257.04 | $269.15 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $70.79 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $64.57 | $114.82 |
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 $38.02 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $38.02 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $15.49 | $17.78 | $17.78 |
Where Colorado sits
The same service costs 3.0 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· 13th of 51
$115
AK $204TX $69.18
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.