How much rates vary
Facilitymedian $93 · 10th to 90th $78 to $170Professionalmedian $107 · 10th to 90th $71 to $166
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 $87.10 Median $87.10 Typical High $134.90 | Facility | None | $87.10 | $87.10 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $66.07 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $39.81 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $24.55 | $46.77 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $77.62 | $120.23 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $54.95 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $67.61 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $70.79 | $93.33 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $50.12 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $23.99 | $41.69 | $69.18 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $123.03 | Facility | None | $77.62 | $87.10 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $181.97 | Professional | None | $69.18 | $107.15 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $48.98 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $57.54 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $173.78 | Facility | None | $81.28 | $151.36 | $173.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $66.07 | $81.28 | $117.49 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $37.15 | $54.95 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $35.48 | $44.67 | $61.66 |
United Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Facility | None | $162.18 | $169.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $66.07 | $93.33 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $53.70 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $23.44 | $38.90 | $67.61 |
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 $36.31 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $14.45 | $17.38 | $17.38 |
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· 14th of 51
$107
AK $182NY $53.70
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.