How much rates vary
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 Professional Modifier None (both parts) Typical Low $660.69 Median $831.76 Typical High $1,122.02 | Professional | None (both parts) | $660.69 | $831.76 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $5,754.40 Typical High $5,888.44 | Facility | None | $4,168.69 | $5,754.40 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $2,511.89 | Professional | None (both parts) | $933.25 | $1,348.96 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $660.69 Typical High $1,258.93 | Professional | 26 · Professional part | $457.09 | $660.69 | $1,258.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $691.83 Typical High $1,288.25 | Professional | TC · Technical part | $467.74 | $691.83 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,698.24 Typical High $2,818.38 | Professional | None (both parts) | $1,096.48 | $1,698.24 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $891.25 Typical High $1,548.82 | Professional | 26 · Professional part | $602.56 | $891.25 | $1,548.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $691.83 Typical High $1,445.44 | Professional | TC · Technical part | $562.34 | $691.83 | $1,445.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,698.24 Typical High $3,548.13 | Professional | None (both parts) | $1,023.29 | $1,698.24 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $831.76 Typical High $1,621.81 | Professional | 26 · Professional part | $549.54 | $831.76 | $1,621.81 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $851.14 Typical High $1,698.24 | Professional | TC · Technical part | $512.86 | $851.14 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,096.48 Typical High $2,290.87 | Professional | None (both parts) | $831.76 | $1,096.48 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $602.56 Typical High $1,174.90 | Professional | 26 · Professional part | $549.54 | $602.56 | $1,174.90 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $1,122.02 | Professional | TC · Technical part | $275.42 | $537.03 | $1,122.02 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $213.80 Typical High $407.38 | Professional | 80 · Assistant surgeon | $147.91 | $213.80 | $407.38 |
Where New Hampshire sits
The same service costs 5.6 times more in Alaska than in Florida. 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.
New Hampshire· 9th of 51
$1,514
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.