How much rates vary
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 $8.91 Median $120.23 Typical High $162.18 | Facility | None | $8.91 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | None (both parts) | $7.41 | $8.91 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | TC · Technical part | $7.41 | $8.91 | $8.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $147.91 | Professional | None (both parts) | $48.98 | $66.07 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $14.45 Typical High $25.12 | Professional | TC · Technical part | $10.47 | $14.45 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | TC · Technical part | $13.80 | $13.80 | $13.80 |
Denver HMP Setting Facility Modifier None Typical Low $8.51 Median $8.91 Typical High $12.59 | Facility | None | $8.51 | $8.91 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $12.88 Typical High $20.42 | Professional | None (both parts) | $7.76 | $12.88 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $12.88 Typical High $19.95 | Professional | TC · Technical part | $7.59 | $12.88 | $19.95 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $38.02 | $66.07 |
Where Colorado sits
The same service costs 10.5 times more in California than in Mississippi. 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· 34th of 51
$10.00
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.