How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,512 to $14,791Professionalmedian $1,862 · 10th to 90th $1,318 to $3,090
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 $2,041.74 Median $5,011.87 Typical High $12,882.50 | Facility | None | $2,041.74 | $5,011.87 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,479.11 Typical High $6,025.60 | Professional | None (both parts) | $1,318.26 | $1,479.11 | $6,025.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $398.11 Typical High $630.96 | Professional | 26 · Professional part | $371.54 | $398.11 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $977.24 Typical High $1,659.59 | Professional | TC · Technical part | $933.25 | $977.24 | $1,659.59 |
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 $1,445.44 Median $1,905.46 Typical High $2,951.21 | Professional | None (both parts) | $1,445.44 | $1,905.46 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $524.81 Typical High $831.76 | Professional | 26 · Professional part | $398.11 | $524.81 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,348.96 Typical High $2,137.96 | Professional | TC · Technical part | $1,023.29 | $1,348.96 | $2,137.96 |
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 $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $1,479.11 | $1,905.46 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $562.34 Typical High $758.58 | Professional | 26 · Professional part | $467.74 | $562.34 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,348.96 Typical High $1,819.70 | Professional | TC · Technical part | $1,023.29 | $1,348.96 | $1,819.70 |
Denver HMP Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,905.46 | Facility | None | $1,318.26 | $1,621.81 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $4,677.35 | Professional | None | $1,202.26 | $1,778.28 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $512.86 Typical High $1,412.54 | Professional | 26 · Professional part | $346.74 | $512.86 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,258.93 Typical High $3,162.28 | Professional | TC · Technical part | $851.14 | $1,258.93 | $3,162.28 |
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 $1,584.89 Median $1,905.46 Typical High $3,090.30 | Professional | None (both parts) | $1,584.89 | $1,905.46 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $602.56 Typical High $933.25 | Professional | 26 · Professional part | $478.63 | $602.56 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,318.26 Typical High $2,187.76 | Professional | TC · Technical part | $1,096.48 | $1,318.26 | $2,187.76 |
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 $933.25 Median $1,000.00 Typical High $1,096.48 | Professional | 54 · Surgery only | $933.25 | $1,000.00 | $1,096.48 |
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
$3,090
WI $4,898NY $1,259
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.