How much rates vary
Facilitymedian $6,761 · 10th to 90th $2,138 to $12,589Professionalmedian $977 · 10th to 90th $692 to $1,622
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 $1,071.52 Median $5,011.87 Typical High $11,481.54 | Facility | None | $1,071.52 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $794.33 Typical High $6,456.54 | Professional | None (both parts) | $691.83 | $794.33 | $6,456.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $239.88 Typical High $346.74 | Professional | 26 · Professional part | $223.87 | $239.88 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $851.14 | Professional | TC · Technical part | $446.68 | $446.68 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,079.46 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,079.46 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $977.24 Typical High $1,548.82 | Professional | None (both parts) | $741.31 | $977.24 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $512.86 | Professional | 26 · Professional part | $245.47 | $323.59 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $660.69 Typical High $1,047.13 | Professional | TC · Technical part | $501.19 | $660.69 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,162.28 Typical High $34,673.69 | Facility | None | $1,513.56 | $3,162.28 | $34,673.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,047.13 Typical High $1,445.44 | Professional | None (both parts) | $851.14 | $1,047.13 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $338.84 Typical High $446.68 | Professional | 26 · Professional part | $269.15 | $338.84 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $691.83 Typical High $977.24 | Professional | TC · Technical part | $575.44 | $691.83 | $977.24 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $1,202.26 | Facility | None | $446.68 | $870.96 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,949.84 | Professional | None | $645.65 | $954.99 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $309.03 Typical High $602.56 | Professional | 26 · Professional part | $208.93 | $309.03 | $602.56 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $645.65 Typical High $1,348.96 | Professional | TC · Technical part | $436.52 | $645.65 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,412.54 | Facility | None | $676.08 | $1,258.93 | $1,412.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $478.63 | $478.63 | $676.08 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $1,698.24 | Professional | None (both parts) | $794.33 | $1,023.29 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $346.74 Typical High $549.54 | Professional | 26 · Professional part | $281.84 | $346.74 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $707.95 Typical High $1,174.90 | Professional | TC · Technical part | $512.86 | $707.95 | $1,174.90 |
5 more rates 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 52 · Reduced service Typical Low $331.13 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $331.13 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $158.49 | Professional | 53 · Discontinued | $131.83 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $512.86 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $102.33 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $79.43 |
Where Colorado sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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
$2,399
WI $2,630TX $603
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.