How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,514 to $5,248Professionalmedian $1,202 · 10th to 90th $955 to $2,291
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 $1,318.26 Median $1,445.44 Typical High $2,137.96 | Facility | None | $1,318.26 | $1,445.44 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,148.15 Typical High $2,187.76 | Professional | None (both parts) | $1,071.52 | $1,148.15 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $288.40 Typical High $575.44 | Professional | 26 · Professional part | $281.84 | $288.40 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $1,584.89 | Professional | TC · Technical part | $776.25 | $851.14 | $1,584.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,174.90 Typical High $1,288.25 | Professional | None (both parts) | $954.99 | $1,174.90 | $1,288.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $331.13 Typical High $346.74 | Professional | 26 · Professional part | $302.00 | $331.13 | $346.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | TC · Technical part | $870.96 | $870.96 | $1,023.29 |
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 $1,047.13 Median $1,258.93 Typical High $2,884.03 | Professional | None (both parts) | $1,047.13 | $1,258.93 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $354.81 Typical High $954.99 | Professional | 26 · Professional part | $288.40 | $354.81 | $954.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $891.25 Typical High $1,995.26 | Professional | TC · Technical part | $758.58 | $891.25 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,348.96 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $363.08 Typical High $630.96 | Professional | 26 · Professional part | $316.23 | $363.08 | $630.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $977.24 Typical High $1,698.24 | Professional | TC · Technical part | $851.14 | $977.24 | $1,698.24 |
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 $1,023.29 Median $1,445.44 Typical High $2,630.27 | Professional | None (both parts) | $1,023.29 | $1,445.44 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $407.38 Typical High $707.95 | Professional | 26 · Professional part | $281.84 | $407.38 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,047.13 Typical High $1,905.46 | Professional | TC · Technical part | $741.31 | $1,047.13 | $1,905.46 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,819.70 | Professional | None (both parts) | $933.25 | $933.25 | $1,819.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $478.63 | Professional | 26 · Professional part | $263.03 | $263.03 | $478.63 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,348.96 | Professional | TC · Technical part | $676.08 | $676.08 | $1,348.96 |
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 $794.33 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $794.33 | $851.14 | $851.14 |
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· 40th of 51
$1,413
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.