How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,455 to $15,488Professionalmedian $2,138 · 10th to 90th $1,202 to $2,951
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 $5,248.07 Median $9,549.93 Typical High $16,982.44 | Facility | None | $5,248.07 | $9,549.93 | $16,982.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,258.93 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $338.84 | $457.09 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,071.52 Typical High $1,096.48 | Professional | TC · Technical part | $891.25 | $1,071.52 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $10,471.29 Typical High $14,454.40 | Facility | None | $3,388.44 | $10,471.29 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,238.72 Typical High $2,691.53 | Professional | None (both parts) | $1,023.29 | $2,238.72 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $602.56 Typical High $794.33 | Professional | 26 · Professional part | $309.03 | $602.56 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,621.81 Typical High $1,905.46 | Professional | TC · Technical part | $741.31 | $1,621.81 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $17,378.01 | Facility | None | $3,388.44 | $3,981.07 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,819.70 Typical High $3,162.28 | Professional | None (both parts) | $1,513.56 | $1,819.70 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $512.86 Typical High $831.76 | Professional | 26 · Professional part | $407.38 | $512.86 | $831.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,288.25 Typical High $2,290.87 | Professional | TC · Technical part | $1,148.15 | $1,288.25 | $2,290.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,238.72 |
Health New England Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $12,882.50 | Facility | None | $1,000.00 | $6,165.95 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,905.46 Typical High $4,073.80 | Professional | None (both parts) | $1,288.25 | $1,905.46 | $4,073.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $524.81 Typical High $1,202.26 | Professional | 26 · Professional part | $346.74 | $524.81 | $1,202.26 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,380.38 Typical High $2,951.21 | Professional | TC · Technical part | $891.25 | $1,380.38 | $2,951.21 |
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 $776.25 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $776.25 | $1,148.15 | $1,148.15 |
Where Connecticut sits
The same service costs 4.0 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.
Connecticut· 10th of 51
$2,455
WI $4,467NY $1,122
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.