How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,479 to $15,136Professionalmedian $1,000 · 10th to 90th $871 to $2,188
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 $977.24 Median $9,772.37 Typical High $19,498.45 | Facility | None | $977.24 | $9,772.37 | $19,498.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $263.03 Median $281.84 Typical High $281.84 | Facility | 26 · Professional part | $263.03 | $281.84 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $691.83 Typical High $691.83 | Facility | TC · Technical part | $660.69 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $933.25 Typical High $1,862.09 | Professional | None (both parts) | $851.14 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $354.81 | Professional | 26 · Professional part | $229.09 | $263.03 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $660.69 Typical High $977.24 | Professional | TC · Technical part | $588.84 | $660.69 | $977.24 |
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 $954.99 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $954.99 | $1,000.00 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $512.86 | Professional | 26 · Professional part | $223.87 | $263.03 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $758.58 Typical High $1,348.96 | Professional | TC · Technical part | $724.44 | $758.58 | $1,348.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $954.99 | $1,380.38 | $1,380.38 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $5,495.41 Typical High $14,791.08 | Facility | None | $2,754.23 | $5,495.41 | $14,791.08 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $2,344.23 | Professional | None (both parts) | $912.01 | $1,071.52 | $2,344.23 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $645.65 | Professional | 26 · Professional part | $223.87 | $263.03 | $645.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $812.83 Typical High $1,698.24 | Professional | TC · Technical part | $691.83 | $812.83 | $1,698.24 |
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 $794.33 Median $1,148.15 Typical High $2,454.71 | Professional | None (both parts) | $794.33 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $295.12 Typical High $602.56 | Professional | 26 · Professional part | $204.17 | $295.12 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $851.14 Typical High $1,862.09 | Professional | TC · Technical part | $588.84 | $851.14 | $1,862.09 |
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 $602.56 Median $691.83 Typical High $741.31 | Professional | 54 · Surgery only | $602.56 | $691.83 | $741.31 |
Where New Jersey 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.
New Jersey· 20th of 51
$1,549
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.