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 $1,023.29 Median $1,202.26 Typical High $8,511.38 | Facility | None | $1,023.29 | $1,202.26 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,202.26 Typical High $2,187.76 | Professional | None (both parts) | $1,023.29 | $1,202.26 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $331.13 Typical High $588.84 | Professional | 26 · Professional part | $309.03 | $331.13 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,584.89 | Professional | TC · Technical part | $724.44 | $851.14 | $1,584.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $6,025.60 Typical High $12,882.50 | Facility | None | $2,238.72 | $6,025.60 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $933.25 Typical High $1,513.56 | Professional | None (both parts) | $758.58 | $933.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $323.59 Typical High $457.09 | Professional | 26 · Professional part | $263.03 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $616.60 Typical High $1,023.29 | Professional | TC · Technical part | $524.81 | $616.60 | $1,023.29 |
CareSource Setting Facility Modifier None Typical Low $269.15 Median $676.08 Typical High $1,071.52 | Facility | None | $269.15 | $676.08 | $1,071.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $257.04 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $257.04 | $380.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,089.30 | Facility | None | $1,737.80 | $1,862.09 | $2,089.30 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $354.81 Typical High $512.86 | Facility | 26 · Professional part | $75.86 | $354.81 | $512.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $870.96 Typical High $1,230.27 | Facility | TC · Technical part | $186.21 | $870.96 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,819.70 Typical High $5,248.07 | Professional | None (both parts) | $1,000.00 | $1,819.70 | $5,248.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $512.86 Typical High $1,445.44 | Professional | 26 · Professional part | $288.40 | $512.86 | $1,445.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,288.25 Typical High $3,801.89 | Professional | TC · Technical part | $707.95 | $1,288.25 | $3,801.89 |
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 $1,445.44 Typical High $1,995.26 | Professional | None (both parts) | $1,174.90 | $1,445.44 | $1,995.26 |
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 $812.83 Median $977.24 Typical High $1,445.44 | Professional | TC · Technical part | $812.83 | $977.24 | $1,445.44 |
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 $776.25 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $851.14 | $933.25 |
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· 45th of 51
$1,288
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.