How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,622 to $13,804Professionalmedian $1,445 · 10th to 90th $891 to $2,188
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 $3,388.44 Median $5,248.07 Typical High $13,489.63 | Facility | None | $3,388.44 | $5,248.07 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $1,380.38 | Professional | None (both parts) | $831.76 | $1,047.13 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $223.87 | Professional | 26 · Professional part | $131.83 | $186.21 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,122.02 | Professional | TC · Technical part | $724.44 | $851.14 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $9,332.54 Typical High $13,182.57 | Facility | None | $2,041.74 | $9,332.54 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,698.24 Typical High $1,995.26 | Professional | None (both parts) | $776.25 | $1,698.24 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $251.19 Typical High $338.84 | Professional | 26 · Professional part | $125.89 | $251.19 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,445.44 Typical High $1,698.24 | Professional | TC · Technical part | $660.69 | $1,445.44 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $17,378.01 | Facility | None | $3,388.44 | $3,981.07 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $1,122.02 | $1,258.93 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $218.78 Typical High $346.74 | Professional | 26 · Professional part | $173.78 | $218.78 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,023.29 Typical High $2,041.74 | Professional | TC · Technical part | $933.25 | $1,023.29 | $2,041.74 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,737.80 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,737.80 |
Health New England Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Health New England Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $12,882.50 | Facility | None | $1,000.00 | $6,165.95 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,318.26 Typical High $2,951.21 | Professional | None (both parts) | $891.25 | $1,318.26 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $218.78 Typical High $489.78 | Professional | 26 · Professional part | $141.25 | $218.78 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,148.15 Typical High $2,511.89 | Professional | TC · Technical part | $724.44 | $1,148.15 | $2,511.89 |
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 $562.34 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $562.34 | $776.25 | $776.25 |
Where Connecticut sits
The same service costs 4.3 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.
Connecticut· 12th of 51
$1,698
WI $3,467NY $813
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.