How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,514 to $5,248Professionalmedian $1,096 · 10th to 90th $269 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 Professional Modifier None (both parts) Typical Low $954.99 Median $1,023.29 Typical High $2,089.30 | Professional | None (both parts) | $954.99 | $1,023.29 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $257.04 Typical High $575.44 | Professional | 26 · Professional part | $251.19 | $257.04 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $758.58 Typical High $1,479.11 | Professional | TC · Technical part | $707.95 | $758.58 | $1,479.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,047.13 Typical High $1,148.15 | Professional | None (both parts) | $269.15 | $1,047.13 | $1,148.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 26 · Professional part | $295.12 | $295.12 | $323.59 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $776.25 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,819.70 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,174.90 Typical High $2,691.53 | Professional | None (both parts) | $933.25 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $316.23 Typical High $870.96 | Professional | 26 · Professional part | $263.03 | $316.23 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $831.76 Typical High $1,778.28 | Professional | TC · Technical part | $676.08 | $831.76 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,202.26 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $323.59 Typical High $575.44 | Professional | 26 · Professional part | $281.84 | $323.59 | $575.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,548.82 | Professional | TC · Technical part | $758.58 | $870.96 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $2,344.23 | Professional | None (both parts) | $933.25 | $1,348.96 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $371.54 Typical High $630.96 | Professional | 26 · Professional part | $251.19 | $371.54 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $977.24 Typical High $1,698.24 | Professional | TC · Technical part | $676.08 | $977.24 | $1,698.24 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $851.14 | $1,621.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $426.58 | Professional | 26 · Professional part | $239.88 | $239.88 | $426.58 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $1,202.26 | Professional | TC · Technical part | $616.60 | $616.60 | $1,202.26 |
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 $707.95 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $707.95 | $758.58 | $758.58 |
Where Maryland 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.
Maryland· 38th of 51
$1,318
WI $4,074NY $1,023
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.