How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,514 to $5,248Professionalmedian $891 · 10th to 90th $603 to $1,660
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 $1,023.29 Median $1,023.29 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $812.83 | $891.25 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $120.23 | $120.23 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $758.58 Typical High $1,621.81 | Professional | TC · Technical part | $707.95 | $758.58 | $1,621.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $125.89 Median $891.25 Typical High $1,000.00 | Professional | None (both parts) | $125.89 | $891.25 | $1,000.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $141.25 | $141.25 | $151.36 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | TC · Technical part | $851.14 | $851.14 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,819.70 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $2,041.74 | Professional | None (both parts) | $794.33 | $933.25 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $416.87 | Professional | 26 · Professional part | $123.03 | $154.88 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,737.80 | Professional | TC · Technical part | $676.08 | $794.33 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,698.24 | Professional | None | $912.01 | $1,047.13 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $154.88 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $891.25 Typical High $1,479.11 | Professional | TC · Technical part | $776.25 | $891.25 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,071.52 Typical High $1,905.46 | Professional | None (both parts) | $724.44 | $1,071.52 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $177.83 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $891.25 Typical High $1,621.81 | Professional | TC · Technical part | $602.56 | $891.25 | $1,621.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,445.44 | Professional | None (both parts) | $645.65 | $645.65 | $1,445.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $100.00 | $204.17 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $1,230.27 | Professional | TC · Technical part | $549.54 | $549.54 | $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 $616.60 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $616.60 | $645.65 | $660.69 |
Where Maryland 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.
Maryland· 44th of 51
$1,000
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.