How much rates vary
Facilitymedian $204 · 10th to 90th $145 to $562Professionalmedian $186 · 10th to 90th $141 to $302
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $125.89 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $39.81 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $91.20 | $102.33 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $141.25 | $190.55 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $54.95 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $134.90 | $208.93 |
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 $154.88 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $154.88 | $204.17 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $154.88 | $295.12 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $354.81 | Facility | None | $144.54 | $204.17 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $316.23 | Professional | None | $120.23 | $186.21 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $50.12 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $89.13 | $134.90 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $302.00 | Facility | None | $144.54 | $263.03 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $109.65 | $134.90 | $199.53 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $38.02 | $56.23 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $79.43 | $97.72 | $147.91 |
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 $158.49 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $158.49 | $199.53 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $48.98 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $147.91 | $263.03 |
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 $63.10 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $21.38 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $14.45 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.59 | $14.45 | $16.22 |
Where Colorado sits
The same service costs 3.2 times more in Kansas 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· 24th of 51
$186
KS $324UT $100
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.