How much rates vary
Facilitymedian $56 · 10th to 90th $50 to $562Professionalmedian $55 · 10th to 90th $42 to $83
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 $50.12 Median $50.12 Typical High $56.23 | Facility | None | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $39.81 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $14.79 | Professional | 26 · Professional part | $11.22 | $13.18 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $38.02 | Professional | TC · Technical part | $28.18 | $36.31 | $38.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $85.11 | Professional | None (both parts) | $42.66 | $58.88 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $17.38 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $42.66 | $60.26 |
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 $46.77 Median $53.70 Typical High $74.13 | Professional | None (both parts) | $46.77 | $53.70 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $15.85 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $32.36 | $38.02 | $52.48 |
Denver HMP Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $70.79 | Facility | None | $45.71 | $50.12 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $100.00 | Professional | None | $45.71 | $66.07 | $100.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $16.60 | $25.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $48.98 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $48.98 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $107.15 | Facility | None | $50.12 | $93.33 | $107.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $38.02 | $50.12 | $79.43 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $12.59 | $19.05 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $38.02 | $57.54 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $676.08 | Facility | None | $562.34 | $588.84 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $41.69 | $53.70 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $12.59 | $16.22 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $28.84 | $37.15 | $54.95 |
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 $19.95 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $19.95 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $7.94 | $10.00 | $10.00 |
Where Colorado sits
The same service costs 2.9 times more in Alaska 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· 18th of 51
$54.95
AK $89.13UT $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.