How much rates vary
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 $3,090.30 Median $6,025.60 Typical High $13,489.63 | Facility | None | $3,090.30 | $6,025.60 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,380.38 Typical High $8,128.31 | Professional | None (both parts) | $1,288.25 | $1,380.38 | $8,128.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $363.08 Typical High $512.86 | Professional | 26 · Professional part | $346.74 | $363.08 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $933.25 Typical High $1,380.38 | Professional | TC · Technical part | $912.01 | $933.25 | $1,380.38 |
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 $1,412.54 Median $1,862.09 Typical High $2,951.21 | Professional | None (both parts) | $1,412.54 | $1,862.09 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $489.78 Typical High $776.25 | Professional | 26 · Professional part | $371.54 | $489.78 | $776.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,380.38 Typical High $2,187.76 | Professional | TC · Technical part | $1,047.13 | $1,380.38 | $2,187.76 |
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 $1,479.11 Median $1,862.09 Typical High $2,570.40 | Professional | None (both parts) | $1,479.11 | $1,862.09 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $537.03 Typical High $707.95 | Professional | 26 · Professional part | $436.52 | $537.03 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,380.38 Typical High $1,862.09 | Professional | TC · Technical part | $1,047.13 | $1,380.38 | $1,862.09 |
Denver HMP Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,862.09 | Facility | None | $1,318.26 | $1,621.81 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,737.80 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $478.63 Typical High $707.95 | Professional | 26 · Professional part | $323.59 | $478.63 | $707.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,258.93 Typical High $1,905.46 | Professional | TC · Technical part | $870.96 | $1,258.93 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $2,818.38 | Facility | None | $1,258.93 | $2,511.89 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,258.93 | Professional | None (both parts) | $870.96 | $870.96 | $1,258.93 |
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 $1,548.82 Median $1,905.46 Typical High $3,090.30 | Professional | None (both parts) | $1,548.82 | $1,905.46 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $562.34 Typical High $870.96 | Professional | 26 · Professional part | $446.68 | $562.34 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,348.96 Typical High $2,238.72 | Professional | TC · Technical part | $1,122.02 | $1,348.96 | $2,238.72 |
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 $912.01 Median $977.24 Typical High $1,071.52 | Professional | 54 · Surgery only | $912.01 | $977.24 | $1,071.52 |
Where Colorado sits
The same service costs 3.9 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
$3,236
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.