How much rates vary
Facilitymedian $54 · 10th to 90th $35 to $257Professionalmedian $37 · 10th to 90th $29 to $59
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 $37.15 Median $37.15 Typical High $57.54 | Facility | None | $37.15 | $37.15 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $28.84 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $13.80 | $17.38 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $20.89 | Professional | TC · Technical part | $15.14 | $19.95 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $25.12 | $47.86 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $17.78 | $22.39 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $28.84 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $56.23 | Professional | None (both parts) | $28.18 | $34.67 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $13.49 | $16.60 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $18.20 Typical High $34.67 | Professional | TC · Technical part | $14.45 | $18.20 | $34.67 |
Denver HMP Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $70.79 | Facility | None | $33.11 | $52.48 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $56.23 | Professional | None | $35.48 | $42.66 | $56.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $16.22 | $19.50 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $30.20 | Professional | TC · Technical part | $19.05 | $22.91 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $74.13 | Facility | None | $35.48 | $64.57 | $74.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $35.48 | $38.02 | $47.86 |
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 $34.67 Median $46.77 Typical High $61.66 | Professional | None (both parts) | $34.67 | $46.77 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $14.79 | $18.20 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $28.18 | $38.02 |
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 $14.45 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $14.45 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $5.75 | $7.41 | $7.41 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in New York. 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· 20th of 51
$37.15
AK $87.10NY $25.70
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.