How much rates vary
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 $2,137.96 Median $6,309.57 Typical High $10,964.78 | Facility | None | $2,137.96 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $5,495.41 | Professional | None (both parts) | $912.01 | $1,071.52 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $251.19 Typical High $302.00 | Professional | 26 · Professional part | $234.42 | $251.19 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $724.44 Typical High $912.01 | Professional | TC · Technical part | $691.83 | $724.44 | $912.01 |
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 $933.25 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $933.25 | $1,122.02 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $281.84 Typical High $512.86 | Professional | 26 · Professional part | $229.09 | $281.84 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $851.14 Typical High $1,230.27 | Professional | TC · Technical part | $707.95 | $851.14 | $1,230.27 |
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 $741.31 Median $776.25 Typical High $1,445.44 | Professional | None (both parts) | $741.31 | $776.25 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $234.42 Typical High $389.05 | Professional | 26 · Professional part | $213.80 | $234.42 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $537.03 Typical High $1,071.52 | Professional | TC · Technical part | $524.81 | $537.03 | $1,071.52 |
Hometown Health Setting Professional Modifier None Typical Low $8.51 Median $1,000.00 Typical High $1,479.11 | Professional | None | $8.51 | $1,000.00 | $1,479.11 |
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 $8.51 Median $8.51 Typical High $1,318.26 | Professional | None (both parts) | $8.51 | $8.51 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $4,265.80 | Facility | None | $870.96 | $870.96 | $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 $724.44 Median $977.24 Typical High $1,584.89 | Professional | None (both parts) | $724.44 | $977.24 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $331.13 Typical High $446.68 | Professional | 26 · Professional part | $239.88 | $331.13 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $812.83 Typical High $1,230.27 | Professional | TC · Technical part | $616.60 | $812.83 | $1,230.27 |
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 $741.31 Median $741.31 Typical High $831.76 | Professional | 54 · Surgery only | $741.31 | $741.31 | $831.76 |
Where Nevada 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.
Nevada· 14th of 51
$1,778
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.