How much rates vary
Facilitymedian $3,631 · 10th to 90th $776 to $10,715Professionalmedian $776 · 10th to 90th $479 to $1,413
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 $741.31 Median $912.01 Typical High $3,890.45 | Facility | None | $741.31 | $912.01 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $912.01 Typical High $1,548.82 | Professional | None (both parts) | $776.25 | $912.01 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $131.83 | $147.91 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $758.58 Typical High $1,288.25 | Professional | TC · Technical part | $645.65 | $758.58 | $1,288.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $154.88 | $154.88 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $6,025.60 Typical High $12,302.69 | Facility | None | $2,238.72 | $6,025.60 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $645.65 Typical High $1,047.13 | Professional | None (both parts) | $512.86 | $645.65 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $109.65 | $141.25 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $426.58 | $501.19 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $602.56 Typical High $954.99 | Facility | None | $120.23 | $602.56 | $954.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $120.23 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $120.23 | $588.84 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,089.30 | Facility | None | $1,348.96 | $1,862.09 | $2,089.30 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $151.36 Typical High $213.80 | Facility | 26 · Professional part | $32.36 | $151.36 | $213.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $794.33 Typical High $1,122.02 | Facility | TC · Technical part | $169.82 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,380.38 Typical High $4,073.80 | Professional | None (both parts) | $758.58 | $1,380.38 | $4,073.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $223.87 Typical High $616.60 | Professional | 26 · Professional part | $123.03 | $223.87 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,122.02 Typical High $3,467.37 | Professional | TC · Technical part | $630.96 | $1,122.02 | $3,467.37 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,000.00 Typical High $1,479.11 | Professional | None (both parts) | $812.83 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $245.47 | Professional | 26 · Professional part | $151.36 | $199.53 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,230.27 | Professional | TC · Technical part | $676.08 | $794.33 | $1,230.27 |
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 $645.65 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $645.65 | $691.83 |
Where Kentucky 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.
Kentucky· 48th of 51
$912
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.