How much rates vary
Facilitymedian $74 · 10th to 90th $66 to $170Professionalmedian $95 · 10th to 90th $66 to $158
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $56.23 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $22.39 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $72.44 | $100.00 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $60.26 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $42.66 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $104.71 | Facility | None | $66.07 | $74.13 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $138.04 | Professional | None | $66.07 | $97.72 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $43.65 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $53.70 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $147.91 | Facility | None | $69.18 | $128.82 | $147.91 |
Select Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $48.98 | $48.98 | $69.18 |
United Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Facility | None | $162.18 | $169.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $64.57 | $81.28 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $48.98 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $33.88 | $54.95 |
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 $28.18 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $28.18 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $11.22 | $14.79 | $14.79 |
Where Colorado sits
The same service costs 14.8 times more in Texas than in Arkansas. 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· 10th of 51
$95.50
TX $537AR $36.31
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.