How much rates vary
Facilitymedian $2,291 · 10th to 90th $676 to $9,772Professionalmedian $1,698 · 10th to 90th $1,096 to $3,020
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 $1,230.27 Median $8,317.64 Typical High $14,125.38 | Facility | None | $1,230.27 | $8,317.64 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,174.90 Typical High $5,370.32 | Professional | None (both parts) | $1,122.02 | $1,174.90 | $5,370.32 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $323.59 Typical High $758.58 | Professional | 26 · Professional part | $288.40 | $323.59 | $758.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $2,238.72 | Professional | TC · Technical part | $851.14 | $851.14 | $2,238.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $416.87 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $8,912.51 | Facility | None | $575.44 | $1,148.15 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,698.24 Typical High $2,570.40 | Professional | None (both parts) | $1,023.29 | $1,698.24 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $501.19 Typical High $794.33 | Professional | 26 · Professional part | $302.00 | $501.19 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,202.26 Typical High $1,862.09 | Professional | TC · Technical part | $724.44 | $1,202.26 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $8,709.64 | Facility | None | $1,698.24 | $2,238.72 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,995.26 Typical High $3,467.37 | Professional | None (both parts) | $1,258.93 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $602.56 Typical High $1,071.52 | Professional | 26 · Professional part | $371.54 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,348.96 Typical High $2,398.83 | Professional | TC · Technical part | $891.25 | $1,348.96 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $5,623.41 | Professional | None | $1,348.96 | $1,479.11 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $416.87 Typical High $4,265.80 | Professional | 26 · Professional part | $380.19 | $416.87 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,071.52 Typical High $4,265.80 | Professional | TC · Technical part | $933.25 | $1,071.52 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $9,120.11 | Facility | None | $1,258.93 | $2,884.03 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,737.80 Typical High $4,073.80 | Professional | None (both parts) | $1,202.26 | $1,737.80 | $4,073.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $537.03 Typical High $1,122.02 | Professional | 26 · Professional part | $331.13 | $537.03 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,230.27 Typical High $2,951.21 | Professional | TC · Technical part | $870.96 | $1,230.27 | $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 $851.14 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $851.14 | $933.25 |
Where Georgia 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.
Georgia· 26th of 51
$1,778
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.