How much rates vary
Facilitymedian $5,370 · 10th to 90th $851 to $11,220Professionalmedian $832 · 10th to 90th $550 to $1,549
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 $812.83 Median $954.99 Typical High $10,964.78 | Facility | None | $812.83 | $954.99 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $954.99 Typical High $1,318.26 | Professional | None (both parts) | $812.83 | $954.99 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $234.42 | $257.04 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $812.83 | Professional | TC · Technical part | $588.84 | $691.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $7,244.36 Typical High $12,302.69 | Facility | None | $3,388.44 | $7,244.36 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $724.44 Typical High $1,174.90 | Professional | None (both parts) | $588.84 | $724.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $251.19 Typical High $354.81 | Professional | 26 · Professional part | $199.53 | $251.19 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $407.38 | $478.63 | $812.83 |
CareSource Setting Facility Modifier None Typical Low $204.17 Median $549.54 Typical High $851.14 | Facility | None | $204.17 | $549.54 | $851.14 |
CareSource Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $213.80 | $302.00 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $4,570.88 | Facility | None | $1,380.38 | $1,949.84 | $4,570.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $275.42 Typical High $389.05 | Facility | 26 · Professional part | $58.88 | $275.42 | $389.05 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $707.95 Typical High $1,000.00 | Facility | TC · Technical part | $151.36 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,412.54 Typical High $4,265.80 | Professional | None (both parts) | $794.33 | $1,412.54 | $4,265.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $398.11 Typical High $1,122.02 | Professional | 26 · Professional part | $218.78 | $398.11 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $1,047.13 Typical High $3,090.30 | Professional | TC · Technical part | $575.44 | $1,047.13 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,122.02 Typical High $1,584.89 | Professional | None (both parts) | $912.01 | $1,122.02 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $346.74 Typical High $436.52 | Professional | 26 · Professional part | $269.15 | $346.74 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $758.58 Typical High $1,174.90 | Professional | TC · Technical part | $645.65 | $758.58 | $1,174.90 |
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 $616.60 Median $676.08 Typical High $741.31 | Professional | 54 · Surgery only | $616.60 | $676.08 | $741.31 |
Where Kentucky 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.
Kentucky· 40th of 51
$1,122
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.