How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,570 to $14,791Professionalmedian $1,698 · 10th to 90th $1,202 to $2,818
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 $1,174.90 Median $1,318.26 Typical High $6,025.60 | Professional | None (both parts) | $1,174.90 | $1,318.26 | $6,025.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $346.74 Typical High $537.03 | Professional | 26 · Professional part | $323.59 | $346.74 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $891.25 Typical High $1,479.11 | Professional | TC · Technical part | $851.14 | $891.25 | $1,479.11 |
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 $1,288.25 Median $1,698.24 Typical High $2,691.53 | Professional | None (both parts) | $1,288.25 | $1,698.24 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $741.31 | Professional | 26 · Professional part | $354.81 | $467.74 | $741.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,230.27 Typical High $1,949.84 | Professional | TC · Technical part | $933.25 | $1,230.27 | $1,949.84 |
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 $1,380.38 Median $1,737.80 Typical High $2,344.23 | Professional | None (both parts) | $1,380.38 | $1,737.80 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $512.86 Typical High $676.08 | Professional | 26 · Professional part | $416.87 | $512.86 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,230.27 Typical High $1,698.24 | Professional | TC · Technical part | $977.24 | $1,230.27 | $1,698.24 |
Denver HMP Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,737.80 | Facility | None | $1,202.26 | $1,479.11 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $3,467.37 | Professional | None | $1,071.52 | $1,584.89 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $457.09 Typical High $1,071.52 | Professional | 26 · Professional part | $309.03 | $457.09 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,122.02 Typical High $2,398.83 | Professional | TC · Technical part | $776.25 | $1,122.02 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $2,290.87 Typical High $2,818.38 | Facility | None | $1,122.02 | $2,290.87 | $2,818.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,122.02 | Professional | None (both parts) | $794.33 | $794.33 | $1,122.02 |
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 $1,778.28 Typical High $2,818.38 | Professional | None (both parts) | $1,445.44 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $537.03 Typical High $831.76 | Professional | 26 · Professional part | $426.58 | $537.03 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,230.27 Typical High $1,995.26 | Professional | TC · Technical part | $1,000.00 | $1,230.27 | $1,995.26 |
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 $831.76 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $831.76 | $891.25 | $977.24 |
Where Colorado sits
The same service costs 3.8 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
$2,884
WI $4,467NY $1,175
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.