How much rates vary
Facilitymedian $2,291 · 10th to 90th $83 to $5,370Professionalmedian $186 · 10th to 90th $138 to $295
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $5,495.41 | Professional | None (both parts) | $134.90 | $138.04 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $109.65 | $120.23 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $14.45 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $141.25 | $199.53 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $173.78 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $173.78 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $17.38 | $24.55 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $91.20 | Facility | None | $18.20 | $28.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $144.54 | $177.83 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $213.80 | Professional | 26 · Professional part | $128.82 | $158.49 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $18.20 Typical High $25.70 | Professional | TC · Technical part | $13.49 | $18.20 | $25.70 |
Denver HMP Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $263.03 | Facility | None | $138.04 | $173.78 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $263.03 | Professional | None | $125.89 | $177.83 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $109.65 | $154.88 | $229.09 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $21.88 | $30.90 |
Select Health Setting Facility Modifier None Typical Low $22.39 Median $125.89 Typical High $263.03 | Facility | None | $22.39 | $125.89 | $263.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $87.10 | $125.89 | $245.47 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $141.25 | $181.97 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $125.89 | $165.96 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $17.78 Typical High $28.84 | Professional | TC · Technical part | $13.80 | $17.78 | $28.84 |
5 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 $61.66 Median $69.18 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | 54 · Surgery only | $93.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $22.91 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.80 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.30 | $13.80 | $15.49 |
Where Colorado sits
The same service costs 4.7 times more in Alaska than in Alabama. 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
$234
AK $490AL $105
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.