How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,291 to $14,454Professionalmedian $1,259 · 10th to 90th $912 to $2,089
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 $4,466.84 Typical High $10,964.78 | Facility | None | $1,148.15 | $4,466.84 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $5,495.41 | Professional | None (both parts) | $870.96 | $954.99 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $131.83 | $147.91 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $776.25 Typical High $1,412.54 | Professional | TC · Technical part | $724.44 | $776.25 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,413.10 Typical High $17,378.01 | Facility | None | $4,786.30 | $7,413.10 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,318.26 Typical High $2,089.30 | Professional | None (both parts) | $1,000.00 | $1,318.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $186.21 Typical High $295.12 | Professional | 26 · Professional part | $141.25 | $186.21 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,148.15 Typical High $1,819.70 | Professional | TC · Technical part | $851.14 | $1,148.15 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $12,022.64 | Facility | None | $2,137.96 | $2,884.03 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,318.26 Typical High $1,659.59 | Professional | None (both parts) | $912.01 | $1,318.26 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $199.53 Typical High $263.03 | Professional | 26 · Professional part | $173.78 | $199.53 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,148.15 Typical High $1,412.54 | Professional | TC · Technical part | $741.31 | $1,148.15 | $1,412.54 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,348.96 | Facility | None | $912.01 | $1,047.13 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $2,398.83 | Professional | None | $851.14 | $1,258.93 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $181.97 Typical High $457.09 | Professional | 26 · Professional part | $123.03 | $181.97 | $457.09 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,071.52 Typical High $1,949.84 | Professional | TC · Technical part | $724.44 | $1,071.52 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $1,778.28 Typical High $2,818.38 | Facility | None | $891.25 | $1,778.28 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $630.96 | $630.96 | $891.25 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $5,623.41 Typical High $14,125.38 | Facility | None | $1,949.84 | $5,623.41 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,258.93 Typical High $2,041.74 | Professional | None (both parts) | $1,023.29 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $165.96 | $218.78 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $1,698.24 | Professional | TC · Technical part | $831.76 | $1,023.29 | $1,698.24 |
1 more rate 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 54 · Surgery only Typical Low $645.65 Median $691.83 Typical High $707.95 | Professional | 54 · Surgery only | $645.65 | $691.83 | $707.95 |
Where Colorado sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 3rd of 51
$2,399
WI $3,467NY $813
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.