How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,570 to $14,791Professionalmedian $1,698 · 10th to 90th $1,230 to $2,884
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 $5,495.41 Typical High $13,489.63 | Facility | None | $2,691.53 | $5,495.41 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,258.93 Typical High $8,128.31 | Professional | None (both parts) | $1,230.27 | $1,258.93 | $8,128.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $331.13 Typical High $467.74 | Professional | 26 · Professional part | $316.23 | $331.13 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $891.25 Typical High $1,348.96 | Professional | TC · Technical part | $870.96 | $891.25 | $1,348.96 |
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 $1,318.26 Median $1,737.80 Typical High $2,754.23 | Professional | None (both parts) | $1,318.26 | $1,737.80 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $446.68 Typical High $707.95 | Professional | 26 · Professional part | $338.84 | $446.68 | $707.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,288.25 Typical High $2,041.74 | Professional | TC · Technical part | $977.24 | $1,288.25 | $2,041.74 |
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 $1,318.26 Median $1,737.80 Typical High $2,290.87 | Professional | None (both parts) | $1,318.26 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $478.63 Typical High $630.96 | Professional | 26 · Professional part | $398.11 | $478.63 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,288.25 Typical High $1,698.24 | Professional | TC · Technical part | $933.25 | $1,288.25 | $1,698.24 |
Denver HMP Setting Facility Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,513.56 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,621.81 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $436.52 Typical High $870.96 | Professional | 26 · Professional part | $288.40 | $436.52 | $870.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,202.26 Typical High $1,949.84 | Professional | TC · Technical part | $812.83 | $1,202.26 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $2,818.38 | Facility | None | $1,174.90 | $2,344.23 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,174.90 | Professional | None (both parts) | $812.83 | $812.83 | $1,174.90 |
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 $1,445.44 Median $1,737.80 Typical High $2,818.38 | Professional | None (both parts) | $1,445.44 | $1,737.80 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $512.86 Typical High $794.33 | Professional | 26 · Professional part | $407.38 | $512.86 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,258.93 Typical High $2,041.74 | Professional | TC · Technical part | $1,047.13 | $1,258.93 | $2,041.74 |
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 $851.14 Median $912.01 Typical High $1,000.00 | Professional | 54 · Surgery only | $851.14 | $912.01 | $1,000.00 |
Where Colorado sits
The same service costs 4.0 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
$3,162
WI $4,467NY $1,122
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.