How much rates vary
Facilitymedian $55 · 10th to 90th $44 to $933Professionalmedian $52 · 10th to 90th $40 to $81
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 $43.65 Median $43.65 Typical High $72.44 | Facility | None | $43.65 | $43.65 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $37.15 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $13.80 | $15.14 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $23.44 | $28.18 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $40.74 | $56.23 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $20.42 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $38.02 | $52.48 |
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 $40.74 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $40.74 | $48.98 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $26.30 | Professional | 26 · Professional part | $16.22 | $18.20 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $30.20 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $61.66 | Facility | None | $43.65 | $51.29 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $89.13 | Professional | None | $39.81 | $57.54 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $29.51 | Professional | 26 · Professional part | $13.18 | $19.05 | $29.51 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $26.30 | $38.02 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $93.33 | Facility | None | $43.65 | $81.28 | $93.33 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $33.11 | $43.65 | $69.18 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $11.75 | $14.79 | $22.39 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $29.51 | $43.65 |
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 $38.90 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $38.90 | $48.98 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $14.79 | $18.20 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $30.20 | $45.71 |
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 $17.78 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $17.78 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.71 | $8.71 |
Where Colorado sits
The same service costs 2.7 times more in Minnesota than in Utah. 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· 19th of 51
$52.48
MN $83.18UT $30.90
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.