How much rates vary
Facilitymedian $1,122 · 10th to 90th $977 to $3,715Professionalmedian $1,445 · 10th to 90th $933 to $2,570
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $954.99 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $213.80 Typical High $229.09 | Professional | 26 · Professional part | $194.98 | $213.80 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $891.25 Typical High $912.01 | Professional | TC · Technical part | $758.58 | $891.25 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,737.80 Typical High $2,570.40 | Professional | None (both parts) | $1,174.90 | $1,737.80 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $338.84 Typical High $501.19 | Professional | 26 · Professional part | $223.87 | $338.84 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,380.38 Typical High $2,089.30 | Professional | TC · Technical part | $912.01 | $1,380.38 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,479.11 Typical High $2,137.96 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $223.87 | $295.12 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,174.90 Typical High $1,737.80 | Professional | TC · Technical part | $851.14 | $1,174.90 | $1,737.80 |
Denver HMP Setting Facility Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,584.89 | Facility | None | $977.24 | $1,348.96 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,174.90 | Professional | None | $537.03 | $758.58 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $309.03 Typical High $478.63 | Professional | 26 · Professional part | $218.78 | $309.03 | $478.63 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $489.78 Typical High $758.58 | Professional | TC · Technical part | $346.74 | $489.78 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,122.02 | Facility | None | $537.03 | $1,000.00 | $1,122.02 |
Select Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $537.03 | $537.03 | $758.58 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,466.84 | Facility | None | $3,715.35 | $3,981.07 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,905.46 Typical High $3,630.78 | Professional | None (both parts) | $724.44 | $1,905.46 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $288.40 Typical High $489.78 | Professional | 26 · Professional part | $208.93 | $288.40 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,659.59 Typical High $3,162.28 | Professional | TC · Technical part | $446.68 | $1,659.59 | $3,162.28 |
4 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 $478.63 Median $549.54 Typical High $562.34 | Professional | 52 · Reduced service | $478.63 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $218.78 Typical High $223.87 | Professional | 53 · Discontinued | $190.55 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $165.96 Typical High $169.82 | Professional | 55 · Aftercare only | $141.25 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $109.65 Typical High $112.20 | Professional | 56 · Pre-op care only | $95.50 | $109.65 | $112.20 |
Where Colorado sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 13th of 51
$1,445
AK $3,020KY $269
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.