How much rates vary
Facilitymedian $83 · 10th to 90th $69 to $257Professionalmedian $102 · 10th to 90th $72 to $162
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $81.28 | Professional | None (both parts) | $67.61 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $25.12 | Professional | 26 · Professional part | $20.89 | $22.91 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $45.71 | $50.12 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $87.10 | $114.82 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $33.11 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $79.43 | $93.33 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $39.81 | Professional | 26 · Professional part | $25.12 | $29.51 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $64.57 | $85.11 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $83.18 Typical High $104.71 | Facility | None | $72.44 | $83.18 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $141.25 | Professional | None | $63.10 | $91.20 | $141.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $28.18 | $41.69 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $63.10 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $147.91 | Facility | None | $69.18 | $128.82 | $147.91 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $56.23 | $69.18 | $104.71 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $17.38 | $21.88 | $33.88 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $47.86 | $72.44 |
United Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $309.03 | Facility | None | $257.04 | $269.15 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $74.13 | $97.72 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $30.20 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $50.12 | $67.61 | $100.00 |
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 $33.11 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $14.45 | $15.49 |
Where Colorado sits
The same service costs 4.9 times more in Nebraska 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· 10th of 51
$102
NE $155UT $31.62
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.