How much rates vary
Facilitymedian $36 · 10th to 90th $26 to $54Professionalmedian $38 · 10th to 90th $26 to $68
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 $25.70 Median $34.67 Typical High $48.98 | Facility | None | $25.70 | $34.67 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $24.55 | $26.92 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.39 Typical High $5.50 | Professional | 26 · Professional part | $3.16 | $3.39 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $22.39 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $58.88 | Professional | None (both parts) | $28.84 | $39.81 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $4.90 Typical High $6.76 | Professional | 26 · Professional part | $3.55 | $4.90 | $6.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $33.88 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $41.69 Typical High $120.23 | Professional | None (both parts) | $26.30 | $41.69 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $4.68 Typical High $8.13 | Professional | 26 · Professional part | $3.55 | $4.68 | $8.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $87.10 | Professional | TC · Technical part | $23.99 | $36.31 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $141.25 | Facility | None | $25.70 | $36.31 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $51.29 | Professional | None | $26.92 | $35.48 | $51.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $4.79 Typical High $7.08 | Professional | 26 · Professional part | $3.63 | $4.79 | $7.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $30.90 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $52.48 | Facility | None | $25.12 | $46.77 | $52.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $46.77 | Professional | None (both parts) | $19.50 | $25.12 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $95.50 | Professional | None (both parts) | $25.12 | $38.90 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.57 Typical High $6.92 | Professional | 26 · Professional part | $3.24 | $4.57 | $6.92 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $83.18 | Professional | TC · Technical part | $21.88 | $33.11 | $83.18 |
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 $11.48 Median $12.88 Typical High $15.85 | Professional | 52 · Reduced service | $11.48 | $12.88 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.13 Typical High $6.31 | Professional | 53 · Discontinued | $4.57 | $5.13 | $6.31 |
Where Colorado sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 25th of 51
$38.02
KS $74.13MD $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.