How much rates vary
Facilitymedian $2,291 · 10th to 90th $676 to $9,550Professionalmedian $1,175 · 10th to 90th $813 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 $891.25 Median $5,370.32 Typical High $13,803.84 | Facility | None | $891.25 | $5,370.32 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $912.01 Typical High $2,290.87 | Professional | None (both parts) | $851.14 | $912.01 | $2,290.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $138.04 Typical High $316.23 | Professional | 26 · Professional part | $120.23 | $138.04 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $724.44 | $1,737.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $138.04 | $239.88 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $8,912.51 | Facility | None | $575.44 | $1,148.15 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,174.90 Typical High $1,905.46 | Professional | None (both parts) | $776.25 | $1,174.90 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $213.80 Typical High $346.74 | Professional | 26 · Professional part | $125.89 | $213.80 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $977.24 Typical High $1,584.89 | Professional | TC · Technical part | $645.65 | $977.24 | $1,584.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $162.18 Median $794.33 Typical High $1,023.29 | Professional | None (both parts) | $162.18 | $794.33 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $8,709.64 | Facility | None | $1,698.24 | $2,238.72 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,412.54 Typical High $2,511.89 | Professional | None (both parts) | $870.96 | $1,412.54 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $245.47 Typical High $446.68 | Professional | 26 · Professional part | $151.36 | $245.47 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,122.02 Typical High $2,137.96 | Professional | TC · Technical part | $724.44 | $1,122.02 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $4,786.30 | Professional | None | $1,000.00 | $1,122.02 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $169.82 Typical High $4,265.80 | Professional | 26 · Professional part | $158.49 | $169.82 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $954.99 Typical High $4,265.80 | Professional | TC · Technical part | $831.76 | $954.99 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $9,120.11 | Facility | None | $1,258.93 | $2,884.03 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,202.26 Typical High $3,019.95 | Professional | None (both parts) | $870.96 | $1,202.26 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $229.09 Typical High $457.09 | Professional | 26 · Professional part | $138.04 | $229.09 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,023.29 Typical High $2,570.40 | Professional | TC · Technical part | $724.44 | $1,023.29 | $2,570.40 |
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 $630.96 Median $630.96 Typical High $691.83 | Professional | 54 · Surgery only | $630.96 | $630.96 | $691.83 |
Where Georgia 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.
Georgia· 23rd of 51
$1,380
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.