How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,570 to $14,791Professionalmedian $1,318 · 10th to 90th $955 to $2,188
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 $2,691.53 Median $5,888.44 Typical High $13,489.63 | Facility | None | $2,691.53 | $5,888.44 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,000.00 Typical High $7,079.46 | Professional | None (both parts) | $891.25 | $1,000.00 | $7,079.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $245.47 Typical High $354.81 | Professional | 26 · Professional part | $234.42 | $245.47 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $707.95 Typical High $1,096.48 | Professional | TC · Technical part | $660.69 | $707.95 | $1,096.48 |
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 $1,047.13 Median $1,380.38 Typical High $2,187.76 | Professional | None (both parts) | $1,047.13 | $1,380.38 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $331.13 Typical High $524.81 | Professional | 26 · Professional part | $251.19 | $331.13 | $524.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,047.13 Typical High $1,659.59 | Professional | TC · Technical part | $776.25 | $1,047.13 | $1,659.59 |
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 $1,023.29 Median $1,380.38 Typical High $1,778.28 | Professional | None (both parts) | $1,023.29 | $1,380.38 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $478.63 | Professional | 26 · Professional part | $302.00 | $363.08 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,047.13 Typical High $1,348.96 | Professional | TC · Technical part | $707.95 | $1,047.13 | $1,348.96 |
Denver HMP Setting Facility Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,380.38 | Facility | None | $954.99 | $1,174.90 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,995.26 | Professional | None | $870.96 | $1,288.25 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $323.59 Typical High $616.60 | Professional | 26 · Professional part | $218.78 | $323.59 | $616.60 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $954.99 Typical High $1,445.44 | Professional | TC · Technical part | $645.65 | $954.99 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $2,818.38 | Facility | None | $912.01 | $1,819.70 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | None (both parts) | $645.65 | $645.65 | $912.01 |
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 $1,122.02 Median $1,348.96 Typical High $2,187.76 | Professional | None (both parts) | $1,122.02 | $1,348.96 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $380.19 Typical High $588.84 | Professional | 26 · Professional part | $302.00 | $380.19 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $977.24 Typical High $1,621.81 | Professional | TC · Technical part | $794.33 | $977.24 | $1,621.81 |
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 $676.08 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $676.08 | $724.44 | $776.25 |
Where Colorado sits
The same service costs 4.2 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
$2,818
WI $3,631NY $871
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.