How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,259 to $9,333Professionalmedian $1,175 · 10th to 90th $1,000 to $7,413
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 $7,244.36 Typical High $10,232.93 | Facility | None | $2,137.96 | $7,244.36 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $2,137.96 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $281.84 | $281.84 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $1,380.38 | Professional | TC · Technical part | $707.95 | $707.95 | $1,380.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,949.84 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,949.84 | $4,570.88 | $12,022.64 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,187.76 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,187.76 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | 26 · Professional part | $309.03 | $309.03 | $616.60 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,584.89 | Professional | TC · Technical part | $794.33 | $794.33 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $6,760.83 | Facility | None | $1,698.24 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,174.90 Typical High $1,819.70 | Professional | None (both parts) | $1,148.15 | $1,174.90 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $331.13 Typical High $549.54 | Professional | 26 · Professional part | $316.23 | $331.13 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $851.14 Typical High $1,288.25 | Professional | TC · Technical part | $794.33 | $851.14 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,235.94 Typical High $8,128.31 | Facility | None | $891.25 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,445.44 Typical High $7,413.10 | Professional | None (both parts) | $1,096.48 | $1,445.44 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $426.58 Typical High $1,905.46 | Professional | 26 · Professional part | $302.00 | $426.58 | $1,905.46 |
Medica Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,023.29 Typical High $5,623.41 | Professional | TC · Technical part | $758.58 | $1,023.29 | $5,623.41 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,174.90 Typical High $1,949.84 | Professional | None (both parts) | $1,071.52 | $1,174.90 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $562.34 | Professional | 26 · Professional part | $295.12 | $346.74 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $1,380.38 | Professional | TC · Technical part | $758.58 | $851.14 | $1,380.38 |
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 $741.31 Median $741.31 Typical High $891.25 | Professional | 54 · Surgery only | $741.31 | $741.31 | $891.25 |
Where Arizona 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.
Arizona· 15th of 51
$2,089
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.