How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,514 to $14,125Professionalmedian $1,047 · 10th to 90th $813 to $2,344
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 $1,174.90 Median $5,623.41 Typical High $14,125.38 | Facility | None | $1,174.90 | $5,623.41 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,047.13 Typical High $4,897.79 | Professional | None (both parts) | $794.33 | $1,047.13 | $4,897.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $131.83 | $144.54 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,122.02 | Professional | TC · Technical part | $645.65 | $776.25 | $1,122.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $204.17 | Professional | 26 · Professional part | $131.83 | $169.82 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $9,332.54 Typical High $15,135.61 | Facility | None | $4,168.69 | $9,332.54 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $1,584.89 | Professional | None (both parts) | $794.33 | $933.25 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $269.15 | Professional | 26 · Professional part | $154.88 | $186.21 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $741.31 Typical High $1,380.38 | Professional | TC · Technical part | $630.96 | $741.31 | $1,380.38 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $831.76 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $831.76 | $891.25 | $1,202.26 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $128.82 | $138.04 | $186.21 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $741.31 Typical High $1,023.29 | Professional | TC · Technical part | $691.83 | $741.31 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $16,218.10 | Facility | None | $1,698.24 | $3,090.30 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,659.59 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $288.40 | Professional | 26 · Professional part | $125.89 | $181.97 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $831.76 Typical High $1,348.96 | Professional | TC · Technical part | $645.65 | $831.76 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $3,801.89 Typical High $10,471.29 | Facility | None | $1,071.52 | $3,801.89 | $10,471.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,819.70 Typical High $5,888.44 | Professional | None (both parts) | $1,047.13 | $1,819.70 | $5,888.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $295.12 Typical High $812.83 | Professional | 26 · Professional part | $186.21 | $295.12 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,513.56 Typical High $5,011.87 | Professional | TC · Technical part | $831.76 | $1,513.56 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,513.56 | $6,165.95 | $12,589.25 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,380.38 Typical High $2,344.23 | Professional | None (both parts) | $870.96 | $1,380.38 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $245.47 Typical High $346.74 | Professional | 26 · Professional part | $138.04 | $245.47 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,096.48 Typical High $1,995.26 | Professional | TC · Technical part | $724.44 | $1,096.48 | $1,995.26 |
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 $676.08 Median $691.83 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $691.83 | $794.33 |
Where Missouri 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.
Missouri· 21st of 51
$1,413
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.