How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,778 to $12,023Professionalmedian $1,349 · 10th to 90th $977 to $2,042
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 $1,202.26 Median $1,230.27 Typical High $6,760.83 | Professional | None (both parts) | $1,202.26 | $1,230.27 | $6,760.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | 26 · Professional part | $331.13 | $331.13 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $912.01 Typical High $1,047.13 | Professional | TC · Technical part | $851.14 | $912.01 | $1,047.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
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 $1,174.90 Median $1,445.44 Typical High $2,238.72 | Professional | None (both parts) | $1,174.90 | $1,445.44 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $371.54 Typical High $691.83 | Professional | 26 · Professional part | $309.03 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $870.96 | $1,047.13 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $20,892.96 | Facility | None | $1,778.28 | $2,454.71 | $20,892.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $977.24 | $1,000.00 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $309.03 Typical High $501.19 | Professional | 26 · Professional part | $281.84 | $309.03 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $707.95 Typical High $1,348.96 | Professional | TC · Technical part | $691.83 | $707.95 | $1,348.96 |
Hometown Health Setting Professional Modifier None Typical Low $10.96 Median $1,288.25 Typical High $1,905.46 | Professional | None | $10.96 | $1,288.25 | $1,905.46 |
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 $10.96 Median $10.96 Typical High $1,659.59 | Professional | None (both parts) | $10.96 | $10.96 | $1,659.59 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $4,265.80 | Facility | None | $1,122.02 | $1,122.02 | $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 $933.25 Median $1,288.25 Typical High $1,995.26 | Professional | None (both parts) | $933.25 | $1,288.25 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $436.52 Typical High $602.56 | Professional | 26 · Professional part | $323.59 | $436.52 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,071.52 Typical High $1,584.89 | Professional | TC · Technical part | $794.33 | $1,071.52 | $1,584.89 |
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 $933.25 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,071.52 |
Where Nevada 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.
Nevada· 18th of 51
$1,950
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.