How much rates vary
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 $1,202.26 Median $8,317.64 Typical High $13,803.84 | Facility | None | $1,202.26 | $8,317.64 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,148.15 Typical High $3,090.30 | Professional | None (both parts) | $1,122.02 | $1,148.15 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $316.23 Typical High $741.31 | Professional | 26 · Professional part | $281.84 | $316.23 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $2,187.76 | Professional | TC · Technical part | $831.76 | $831.76 | $2,187.76 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $575.44 | $707.95 | $707.95 |
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 $1,000.00 Median $1,698.24 Typical High $2,630.27 | Professional | None (both parts) | $1,000.00 | $1,698.24 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $501.19 Typical High $776.25 | Professional | 26 · Professional part | $295.12 | $501.19 | $776.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,174.90 Typical High $1,862.09 | Professional | TC · Technical part | $707.95 | $1,174.90 | $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 $1,949.84 Typical High $3,388.44 | Professional | None (both parts) | $1,258.93 | $1,949.84 | $3,388.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $588.84 Typical High $1,047.13 | Professional | 26 · Professional part | $363.08 | $588.84 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,348.96 Typical High $2,344.23 | Professional | TC · Technical part | $891.25 | $1,348.96 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $5,495.41 | Professional | None | $1,318.26 | $1,445.44 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $407.38 Typical High $4,265.80 | Professional | 26 · Professional part | $371.54 | $407.38 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,047.13 Typical High $4,265.80 | Professional | TC · Technical part | $912.01 | $1,047.13 | $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 $1,174.90 Median $1,737.80 Typical High $3,981.07 | Professional | None (both parts) | $1,174.90 | $1,737.80 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $524.81 Typical High $1,096.48 | Professional | 26 · Professional part | $323.59 | $524.81 | $1,096.48 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,202.26 Typical High $2,884.03 | Professional | TC · Technical part | $851.14 | $1,202.26 | $2,884.03 |
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 $831.76 Median $831.76 Typical High $912.01 | Professional | 54 · Surgery only | $831.76 | $831.76 | $912.01 |
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· 24th of 51
$1,778
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.