How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,698 to $17,378Professionalmedian $955 · 10th to 90th $832 to $2,042
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 $870.96 Median $6,309.57 Typical High $19,498.45 | Facility | None | $870.96 | $6,309.57 | $19,498.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $158.49 | Facility | 26 · Professional part | $151.36 | $158.49 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $724.44 Typical High $724.44 | Facility | TC · Technical part | $691.83 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,819.70 | Professional | None (both parts) | $831.76 | $912.01 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $125.89 | $151.36 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $758.58 Typical High $1,380.38 | Professional | TC · Technical part | $691.83 | $758.58 | $1,380.38 |
AmeriHealth Setting Facility Modifier None Typical Low $5,754.40 Median $10,715.19 Typical High $16,218.10 | Facility | None | $5,754.40 | $10,715.19 | $16,218.10 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $245.47 | Professional | 26 · Professional part | $112.20 | $141.25 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $15,848.93 | Facility | None | $1,949.84 | $3,235.94 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $933.25 | $977.24 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $123.03 | $144.54 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $831.76 Typical High $1,412.54 | Professional | TC · Technical part | $812.83 | $831.76 | $1,412.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $977.24 | $1,348.96 | $1,348.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,025.60 Typical High $21,877.62 | Facility | None | $2,884.03 | $6,025.60 | $21,877.62 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,000.00 Typical High $2,089.30 | Professional | None (both parts) | $851.14 | $1,000.00 | $2,089.30 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $147.91 Typical High $371.54 | Professional | 26 · Professional part | $123.03 | $147.91 | $371.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $870.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,073.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,096.48 Typical High $2,344.23 | Professional | None (both parts) | $741.31 | $1,096.48 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $338.84 | Professional | 26 · Professional part | $114.82 | $165.96 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $933.25 Typical High $1,995.26 | Professional | TC · Technical part | $616.60 | $933.25 | $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 $524.81 Median $630.96 Typical High $707.95 | Professional | 54 · Surgery only | $524.81 | $630.96 | $707.95 |
Where New Jersey 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.
New Jersey· 20th of 51
$1,479
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.