How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,585 to $10,000Professionalmedian $1,230 · 10th to 90th $933 to $2,291
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 $3,162.28 Median $8,317.64 Typical High $16,595.87 | Facility | None | $3,162.28 | $8,317.64 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $1,621.81 | Professional | None (both parts) | $933.25 | $1,348.96 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $371.54 Typical High $380.19 | Professional | 26 · Professional part | $257.04 | $371.54 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,000.00 Typical High $1,023.29 | Professional | TC · Technical part | $676.08 | $1,000.00 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $5,754.40 Typical High $6,165.95 | Facility | None | $2,041.74 | $5,754.40 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $11,220.18 | Facility | None | $2,041.74 | $2,137.96 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,288.25 Typical High $1,584.89 | Professional | None (both parts) | $912.01 | $1,288.25 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $363.08 Typical High $436.52 | Professional | 26 · Professional part | $263.03 | $363.08 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $891.25 Typical High $1,202.26 | Professional | TC · Technical part | $645.65 | $891.25 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,290.87 Typical High $9,332.54 | Facility | None | $1,047.13 | $2,290.87 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,288.25 Typical High $6,025.60 | Professional | None (both parts) | $977.24 | $1,288.25 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $371.54 Typical High $1,445.44 | Professional | 26 · Professional part | $269.15 | $371.54 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $933.25 Typical High $4,570.88 | Professional | TC · Technical part | $707.95 | $933.25 | $4,570.88 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,288.25 Typical High $2,137.96 | Professional | None (both parts) | $933.25 | $1,288.25 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $245.47 | $371.54 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $933.25 Typical High $1,584.89 | Professional | TC · Technical part | $691.83 | $933.25 | $1,584.89 |
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 $1,023.29 Typical High $1,047.13 | Professional | 54 · Surgery only | $707.95 | $1,023.29 | $1,047.13 |
Where Kansas 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.
Kansas· 8th of 51
$2,188
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.