How much rates vary
Facilitymedian $23 · 10th to 90th $18 to $126Professionalmedian $19 · 10th to 90th $11 to $32
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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $15.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $9.33 | Professional | 26 · Professional part | $7.94 | $8.71 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $9.33 Typical High $9.33 | Professional | TC · Technical part | $7.76 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.23 Median $18.20 Typical High $32.36 | Professional | None (both parts) | $10.23 | $18.20 | $32.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $8.32 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $7.94 Typical High $22.39 | Professional | TC · Technical part | $6.31 | $7.94 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $21.38 Typical High $32.36 | Professional | None (both parts) | $18.62 | $21.38 | $32.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $10.72 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.96 Typical High $16.60 | Professional | TC · Technical part | $9.77 | $10.96 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $19.05 Typical High $25.70 | Facility | None | $18.20 | $19.05 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $22.91 Typical High $38.90 | Professional | None | $15.14 | $22.91 | $38.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $7.24 | $10.96 | $18.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $12.02 Typical High $19.95 | Professional | TC · Technical part | $7.76 | $12.02 | $19.95 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $32.36 Typical High $37.15 | Facility | None | $17.78 | $32.36 | $37.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $17.78 Typical High $25.12 | Professional | None (both parts) | $13.18 | $17.78 | $25.12 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $8.51 | $12.30 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $9.12 Typical High $12.88 | Professional | TC · Technical part | $6.76 | $9.12 | $12.88 |
United Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $151.36 | Facility | None | $125.89 | $131.83 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.39 Typical High $33.11 | Professional | None (both parts) | $18.20 | $22.39 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $11.22 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $16.22 | Professional | TC · Technical part | $8.71 | $10.96 | $16.22 |
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 $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $7.76 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.72 |
Where Colorado sits
The same service costs 2.7 times more in Minnesota than in Florida. 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
$19.50
MN $38.02FL $14.13
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.