How much rates vary
Facilitymedian $28 · 10th to 90th $19 to $562Professionalmedian $20 · 10th to 90th $16 to $50
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 $19.95 Median $19.95 Typical High $24.55 | Facility | None | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $16.60 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $12.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $4.07 Typical High $4.07 | Professional | TC · Technical part | $3.09 | $4.07 | $4.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $20.42 | $33.11 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $19.95 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $5.37 Typical High $13.49 | Professional | TC · Technical part | $4.07 | $5.37 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $15.85 Typical High $46.77 | Professional | None (both parts) | $14.45 | $15.85 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $17.78 | Professional | 26 · Professional part | $12.02 | $14.45 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.48 Median $2.63 Typical High $30.90 | Professional | TC · Technical part | $1.48 | $2.63 | $30.90 |
Denver HMP Setting Facility Modifier None Typical Low $19.50 Median $25.12 Typical High $56.23 | Facility | None | $19.50 | $25.12 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $29.51 | Professional | None | $18.20 | $21.88 | $29.51 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $14.45 | $17.38 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $4.57 Typical High $6.17 | Professional | TC · Technical part | $3.80 | $4.57 | $6.17 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $38.02 | Facility | None | $18.20 | $33.88 | $38.02 |
Select Health Setting Professional Modifier None (both parts) Typical Low $17.78 Median $20.42 Typical High $24.55 | Professional | None (both parts) | $17.78 | $20.42 | $24.55 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $676.08 | Facility | None | $562.34 | $588.84 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $18.20 | $27.54 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $12.59 | $14.79 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $14.79 Typical High $39.81 | Professional | TC · Technical part | $3.24 | $14.79 | $39.81 |
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 $8.13 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $8.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.31 | $3.98 | $3.98 |
Where Colorado sits
The same service costs 2.5 times more in California 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· 28th of 51
$19.95
CA $40.74TX $16.22
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.