How much rates vary
Facilitymedian $25 · 10th to 90th $19 to $162Professionalmedian $23 · 10th to 90th $13 to $36
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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $18.62 Typical High $19.95 | Professional | None (both parts) | $16.60 | $18.62 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $8.51 | Professional | 26 · Professional part | $6.92 | $6.92 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $11.75 Typical High $11.75 | Professional | TC · Technical part | $8.91 | $11.75 | $11.75 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.75 Median $24.55 Typical High $37.15 | Professional | None (both parts) | $11.75 | $24.55 | $37.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $8.51 | $12.02 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $15.49 Typical High $22.39 | Professional | TC · Technical part | $10.96 | $15.49 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Denver HMP Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $28.84 | Facility | None | $18.62 | $23.99 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $25.70 Typical High $43.65 | Professional | None | $16.98 | $25.70 | $43.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $6.92 | $10.47 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $15.14 Typical High $25.70 | Professional | TC · Technical part | $10.00 | $15.14 | $25.70 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $41.69 | Facility | None | $19.95 | $36.31 | $41.69 |
Select Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $22.91 Typical High $28.84 | Professional | None (both parts) | $18.62 | $22.91 | $28.84 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $11.75 | Professional | 26 · Professional part | $6.92 | $8.51 | $11.75 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $14.45 Typical High $16.98 | Professional | TC · Technical part | $11.75 | $14.45 | $16.98 |
United Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $194.98 | Facility | None | $162.18 | $169.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $40.74 | Professional | None (both parts) | $20.42 | $25.70 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $9.12 | $10.96 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.13 Typical High $21.88 | Professional | TC · Technical part | $11.22 | $14.13 | $21.88 |
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 $8.32 Median $9.33 Typical High $10.00 | Professional | 52 · Reduced service | $8.32 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.72 Typical High $3.98 | Professional | 53 · Discontinued | $3.31 | $3.72 | $3.98 |
Where Colorado sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 23rd of 51
$23.44
WI $39.81NC $17.38
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.