How much rates vary
Facilitymedian $43 · 10th to 90th $31 to $76Professionalmedian $41 · 10th to 90th $30 to $59
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 $30.90 Median $38.90 Typical High $47.86 | Facility | None | $30.90 | $38.90 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $27.54 | $30.90 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $36.31 | Professional | TC · Technical part | $19.50 | $21.88 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $30.90 | $41.69 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $16.98 | Professional | 26 · Professional part | $8.91 | $11.75 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $30.20 | $42.66 |
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 $33.88 Median $42.66 Typical High $58.88 | Professional | None (both parts) | $33.88 | $42.66 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $15.14 | Professional | 26 · Professional part | $9.12 | $10.47 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $23.99 | $31.62 | $42.66 |
Denver HMP Setting Facility Modifier None Typical Low $30.90 Median $41.69 Typical High $52.48 | Facility | None | $30.90 | $41.69 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $61.66 | Professional | None | $28.18 | $40.74 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $10.96 | $16.60 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $29.51 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $57.54 Typical High $66.07 | Facility | None | $30.90 | $57.54 | $66.07 |
Select Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $23.44 | $30.90 | $48.98 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $8.51 | $12.88 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $16.60 | $22.91 | $33.88 |
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 $33.11 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $33.11 | $43.65 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $10.47 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $32.36 | $51.29 |
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 $13.49 Median $15.14 Typical High $17.78 | Professional | 52 · Reduced service | $13.49 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $5.37 | $6.17 | $7.08 |
Where Colorado sits
The same service costs 2.5 times more in Minnesota 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· 15th of 51
$40.74
MN $67.61TX $26.92
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.