How much rates vary
Facilitymedian $2,188 · 10th to 90th $200 to $5,129Professionalmedian $126 · 10th to 90th $81 to $191
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 $87.10 Median $87.10 Typical High $134.90 | Facility | None | $87.10 | $87.10 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $87.10 | $87.10 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $41.69 | $42.66 | $79.43 |
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 $81.28 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $81.28 | $125.89 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $74.13 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $66.07 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $1,659.59 | Facility | None | $69.18 | $120.23 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $100.00 | $125.89 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $66.07 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $58.88 | $79.43 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $263.03 | Facility | None | $87.10 | $117.49 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $223.87 | Professional | None | $107.15 | $147.91 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $67.61 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $77.62 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $223.87 | Facility | None | $85.11 | $107.15 | $223.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $74.13 | $107.15 | $208.93 |
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 $97.72 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $97.72 | $128.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $66.07 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $61.66 | $83.18 |
4 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 $42.66 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $9.55 |
Where Colorado sits
The same service costs 5.9 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· 13th of 51
$151
AK $331AL $56.23
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.