How much rates vary
Facilitymedian $537 · 10th to 90th $389 to $3,715Professionalmedian $513 · 10th to 90th $355 to $851
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $323.59 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $52.48 | Professional | 26 · Professional part | $40.74 | $48.98 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $371.54 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $407.38 | $616.60 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $537.03 Typical High $812.83 | Professional | TC · Technical part | $354.81 | $537.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $741.31 | Professional | None (both parts) | $354.81 | $489.78 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $63.10 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $302.00 | $436.52 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $602.56 | Facility | None | $389.05 | $416.87 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $933.25 | Professional | None | $426.58 | $602.56 | $933.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $66.07 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $537.03 Typical High $831.76 | Professional | TC · Technical part | $380.19 | $537.03 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $776.25 Typical High $891.25 | Facility | None | $426.58 | $776.25 | $891.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $302.00 | $426.58 | $602.56 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,466.84 | Facility | None | $3,715.35 | $3,981.07 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $323.59 | $467.74 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $407.38 Typical High $676.08 | Professional | TC · Technical part | $281.84 | $407.38 | $676.08 |
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 $165.96 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $165.96 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $83.18 | $83.18 |
Where Colorado sits
The same service costs 3.0 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· 14th of 51
$513
AK $813NM $275
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.