How much rates vary
Facilitymedian $93 · 10th to 90th $91 to $170Professionalmedian $117 · 10th to 90th $81 to $186
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 $91.20 Median $91.20 Typical High $141.25 | Facility | None | $91.20 | $91.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $75.86 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $39.81 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $69.18 | Professional | TC · Technical part | $41.69 | $51.29 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $81.28 | $131.83 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $60.26 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $79.43 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $89.13 | $117.49 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $52.48 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $46.77 | $66.07 | $95.50 |
Denver HMP Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $128.82 | Facility | None | $91.20 | $93.33 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $204.17 | Professional | None | $93.33 | $131.83 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $53.70 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $77.62 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $194.98 | Facility | None | $93.33 | $169.82 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $66.07 | $93.33 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $81.28 | $114.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $104.71 | Professional | TC · Technical part | $43.65 | $63.10 | $104.71 |
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 $39.81 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $18.20 | $18.20 |
Where Colorado sits
The same service costs 3.0 times more in Alaska 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· 13th of 51
$117
AK $204TX $67.61
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.