How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,399 to $14,791Professionalmedian $1,549 · 10th to 90th $1,096 to $2,570
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 $1,737.80 Median $5,011.87 Typical High $12,882.50 | Facility | None | $1,737.80 | $5,011.87 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,318.26 Typical High $5,888.44 | Professional | None (both parts) | $1,071.52 | $1,318.26 | $5,888.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $316.23 Typical High $489.78 | Professional | 26 · Professional part | $288.40 | $316.23 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $776.25 | $870.96 | $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 $1,202.26 Median $1,584.89 Typical High $2,511.89 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $416.87 Typical High $660.69 | Professional | 26 · Professional part | $316.23 | $416.87 | $660.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,174.90 Typical High $1,862.09 | Professional | TC · Technical part | $891.25 | $1,174.90 | $1,862.09 |
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 $1,258.93 Median $1,584.89 Typical High $2,137.96 | Professional | None (both parts) | $1,258.93 | $1,584.89 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $446.68 Typical High $588.84 | Professional | 26 · Professional part | $371.54 | $446.68 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,174.90 Typical High $1,548.82 | Professional | TC · Technical part | $891.25 | $1,174.90 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,380.38 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,479.11 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $407.38 Typical High $851.14 | Professional | 26 · Professional part | $269.15 | $407.38 | $851.14 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,071.52 Typical High $1,995.26 | Professional | TC · Technical part | $724.44 | $1,071.52 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $2,818.38 | Facility | None | $1,047.13 | $2,089.30 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,047.13 | Professional | None (both parts) | $741.31 | $741.31 | $1,047.13 |
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 $1,318.26 Median $1,621.81 Typical High $2,570.40 | Professional | None (both parts) | $1,318.26 | $1,621.81 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $478.63 Typical High $741.31 | Professional | 26 · Professional part | $380.19 | $478.63 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,122.02 Typical High $1,862.09 | Professional | TC · Technical part | $933.25 | $1,122.02 | $1,862.09 |
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 $776.25 Median $831.76 Typical High $912.01 | Professional | 54 · Surgery only | $776.25 | $831.76 | $912.01 |
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· 4th of 51
$2,630
WI $4,169NY $1,072
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.