How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,047 to $11,220Professionalmedian $1,047 · 10th to 90th $708 to $1,905
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 $1,047.13 Median $1,202.26 Typical High $10,964.78 | Facility | None | $1,047.13 | $1,202.26 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,174.90 Typical High $1,380.38 | Professional | None (both parts) | $1,047.13 | $1,174.90 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $331.13 Typical High $380.19 | Professional | 26 · Professional part | $316.23 | $331.13 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $812.83 Typical High $1,000.00 | Professional | TC · Technical part | $741.31 | $812.83 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $7,244.36 Typical High $12,302.69 | Facility | None | $3,162.28 | $7,244.36 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $954.99 Typical High $1,412.54 | Professional | None (both parts) | $812.83 | $954.99 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $331.13 Typical High $457.09 | Professional | 26 · Professional part | $269.15 | $331.13 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $537.03 | $630.96 | $1,047.13 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $1,096.48 | Facility | None | $275.42 | $676.08 | $1,096.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $288.40 | $398.11 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,187.76 | Facility | None | $1,778.28 | $1,949.84 | $2,187.76 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $363.08 Typical High $512.86 | Facility | 26 · Professional part | $77.62 | $363.08 | $512.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $870.96 Typical High $1,258.93 | Facility | TC · Technical part | $186.21 | $870.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,862.09 Typical High $5,370.32 | Professional | None (both parts) | $1,023.29 | $1,862.09 | $5,370.32 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $524.81 Typical High $1,479.11 | Professional | 26 · Professional part | $295.12 | $524.81 | $1,479.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,288.25 Typical High $3,890.45 | Professional | TC · Technical part | $724.44 | $1,288.25 | $3,890.45 |
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 $1,174.90 Median $1,479.11 Typical High $2,041.74 | Professional | None (both parts) | $1,174.90 | $1,479.11 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $457.09 Typical High $575.44 | Professional | 26 · Professional part | $346.74 | $457.09 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,000.00 Typical High $1,479.11 | Professional | TC · Technical part | $831.76 | $1,000.00 | $1,479.11 |
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 $794.33 Median $870.96 Typical High $954.99 | Professional | 54 · Surgery only | $794.33 | $870.96 | $954.99 |
Where Kentucky 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.
Kentucky· 40th of 51
$1,413
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.