How much rates vary
Facilitymedian $2,291 · 10th to 90th $676 to $9,772Professionalmedian $1,318 · 10th to 90th $851 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 $1,202.26 Median $8,317.64 Typical High $14,125.38 | Facility | None | $1,202.26 | $8,317.64 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $912.01 Typical High $5,370.32 | Professional | None (both parts) | $891.25 | $912.01 | $5,370.32 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $239.88 Typical High $562.34 | Professional | 26 · Professional part | $213.80 | $239.88 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,778.28 | Professional | TC · Technical part | $676.08 | $676.08 | $1,778.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $229.09 | $537.03 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $8,912.51 | Facility | None | $575.44 | $1,148.15 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,318.26 Typical High $1,995.26 | Professional | None (both parts) | $812.83 | $1,318.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $389.05 Typical High $602.56 | Professional | 26 · Professional part | $223.87 | $389.05 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $933.25 Typical High $1,479.11 | Professional | TC · Technical part | $575.44 | $933.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $8,709.64 | Facility | None | $1,698.24 | $2,238.72 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,548.82 Typical High $2,630.27 | Professional | None (both parts) | $977.24 | $1,548.82 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $446.68 Typical High $794.33 | Professional | 26 · Professional part | $275.42 | $446.68 | $794.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,071.52 Typical High $1,905.46 | Professional | TC · Technical part | $691.83 | $1,071.52 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $4,265.80 | Professional | None | $1,047.13 | $1,174.90 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $309.03 Typical High $4,265.80 | Professional | 26 · Professional part | $288.40 | $309.03 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $851.14 Typical High $4,265.80 | Professional | TC · Technical part | $741.31 | $851.14 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $9,120.11 | Facility | None | $1,258.93 | $2,884.03 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $3,162.28 | Professional | None (both parts) | $933.25 | $1,348.96 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $407.38 Typical High $831.76 | Professional | 26 · Professional part | $245.47 | $407.38 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $954.99 Typical High $2,344.23 | Professional | TC · Technical part | $691.83 | $954.99 | $2,344.23 |
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 $660.69 Median $660.69 Typical High $724.44 | Professional | 54 · Surgery only | $660.69 | $660.69 | $724.44 |
Where Georgia sits
The same service costs 4.2 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.
Georgia· 25th of 51
$1,514
WI $3,631NY $871
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.