How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,698 to $12,023Professionalmedian $977 · 10th to 90th $676 to $1,514
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 $1,071.52 Median $3,801.89 Typical High $10,964.78 | Facility | None | $1,071.52 | $3,801.89 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $3,981.07 | Professional | None (both parts) | $831.76 | $1,000.00 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $138.04 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $676.08 | $794.33 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $9,549.93 | Facility | None | $3,311.31 | $6,918.31 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,096.48 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $281.84 | Professional | 26 · Professional part | $125.89 | $154.88 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,288.25 | Professional | TC · Technical part | $776.25 | $933.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $25,703.96 | Facility | None | $1,778.28 | $2,454.71 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $676.08 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $123.03 | $134.90 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $562.34 Typical High $1,122.02 | Professional | TC · Technical part | $549.54 | $562.34 | $1,122.02 |
Hometown Health Setting Professional Modifier None Typical Low $7.59 Median $912.01 Typical High $1,445.44 | Professional | None | $7.59 | $912.01 | $1,445.44 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $7.59 Median $7.59 Typical High $1,288.25 | Professional | None (both parts) | $7.59 | $7.59 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $4,265.80 | Facility | None | $851.14 | $851.14 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $10,715.19 | Facility | None | $1,698.24 | $2,630.27 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $891.25 Typical High $1,479.11 | Professional | None (both parts) | $660.69 | $891.25 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $190.55 Typical High $245.47 | Professional | 26 · Professional part | $131.83 | $190.55 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $851.14 Typical High $1,318.26 | Professional | TC · Technical part | $660.69 | $851.14 | $1,318.26 |
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 $707.95 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $707.95 | $812.83 |
Where Nevada 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.
Nevada· 14th of 51
$1,622
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.