How much rates vary
Facilitymedian $27 · 10th to 90th $18 to $933Professionalmedian $19 · 10th to 90th $15 to $46
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 $18.62 Median $18.62 Typical High $22.39 | Facility | None | $18.62 | $18.62 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $15.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $11.48 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $4.07 Typical High $4.07 | Professional | TC · Technical part | $2.95 | $4.07 | $4.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $18.62 | $29.51 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $18.62 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $5.75 Typical High $34.67 | Professional | TC · Technical part | $4.07 | $5.75 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $14.79 Typical High $44.67 | Professional | None (both parts) | $13.80 | $14.79 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $10.96 | $13.18 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.48 Median $2.63 Typical High $29.51 | Professional | TC · Technical part | $1.48 | $2.63 | $29.51 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $60.26 | Facility | None | $18.20 | $23.99 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $27.54 | Professional | None | $16.98 | $20.42 | $27.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $15.85 | $21.38 |
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 $16.98 Median $31.62 Typical High $36.31 | Facility | None | $16.98 | $31.62 | $36.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $19.05 Typical High $22.91 | Professional | None (both parts) | $16.98 | $19.05 | $22.91 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,122.02 | Facility | None | $933.25 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $25.70 Typical High $52.48 | Professional | None (both parts) | $16.98 | $25.70 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $11.22 | $13.80 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $14.13 Typical High $37.15 | Professional | TC · Technical part | $3.24 | $14.13 | $37.15 |
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 $7.76 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.72 | $3.72 |
Where Colorado sits
The same service costs 2.6 times more in California 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· 29th of 51
$18.62
CA $38.02NY $14.45
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.