How much rates vary
Facilitymedian $1,318 · 10th to 90th $257 to $40,738Professionalmedian $832 · 10th to 90th $550 to $1,950
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 $2,570.40 Median $6,456.54 Typical High $39,810.72 | Facility | None | $2,570.40 | $6,456.54 | $39,810.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $549.54 Typical High $5,495.41 | Professional | None (both parts) | $524.81 | $549.54 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $407.38 Typical High $436.52 | Professional | 26 · Professional part | $389.05 | $407.38 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $147.91 | Professional | TC · Technical part | $125.89 | $141.25 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,892.96 Median $30,199.52 Typical High $60,255.96 | Facility | None | $20,892.96 | $30,199.52 | $60,255.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $575.44 | $758.58 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $562.34 Typical High $891.25 | Professional | 26 · Professional part | $426.58 | $562.34 | $891.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $194.98 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $776.25 Typical High $1,047.13 | Professional | None (both parts) | $616.60 | $776.25 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $588.84 Typical High $776.25 | Professional | 26 · Professional part | $457.09 | $588.84 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $154.88 | $194.98 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $549.54 Median $707.95 Typical High $794.33 | Facility | None | $549.54 | $707.95 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $10,000.00 Typical High $13,803.84 | Professional | None | $5,128.61 | $10,000.00 | $13,803.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $562.34 Typical High $851.14 | Professional | 26 · Professional part | $380.19 | $562.34 | $851.14 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4,786.30 Median $9,332.54 Typical High $13,182.57 | Professional | TC · Technical part | $4,786.30 | $9,332.54 | $13,182.57 |
Select Health Setting Facility Modifier None Typical Low $7,585.78 Median $14,125.38 Typical High $15,848.93 | Facility | None | $7,585.78 | $14,125.38 | $15,848.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,370.32 Median $5,370.32 Typical High $7,585.78 | Professional | None (both parts) | $5,370.32 | $5,370.32 | $7,585.78 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $39,810.72 | Facility | None | $239.88 | $616.60 | $39,810.72 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $1,905.46 | Professional | None (both parts) | $794.33 | $1,023.29 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $588.84 Typical High $977.24 | Professional | 26 · Professional part | $478.63 | $588.84 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $436.52 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $436.52 | $812.83 |
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 $263.03 Median $275.42 Typical High $295.12 | Professional | 52 · Reduced service | $263.03 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $416.87 Typical High $446.68 | Professional | 54 · Surgery only | $389.05 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $77.62 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $58.88 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $58.88 |
Where Colorado sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 17th of 51
$871
NE $2,818MD $501
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.