How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,479 to $14,791Professionalmedian $1,288 · 10th to 90th $1,096 to $2,818
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 $1,258.93 Median $9,772.37 Typical High $19,498.45 | Facility | None | $1,258.93 | $9,772.37 | $19,498.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $338.84 Median $363.08 Typical High $363.08 | Facility | 26 · Professional part | $338.84 | $363.08 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $891.25 Typical High $891.25 | Facility | TC · Technical part | $851.14 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,258.93 Typical High $2,570.40 | Professional | None (both parts) | $1,096.48 | $1,258.93 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $338.84 Typical High $562.34 | Professional | 26 · Professional part | $302.00 | $338.84 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $851.14 Typical High $1,737.80 | Professional | TC · Technical part | $794.33 | $851.14 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $15,848.93 | Facility | None | $1,949.84 | $3,235.94 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,258.93 Typical High $2,398.83 | Professional | None (both parts) | $1,174.90 | $1,258.93 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $676.08 | Professional | 26 · Professional part | $288.40 | $338.84 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $933.25 Typical High $1,737.80 | Professional | TC · Technical part | $891.25 | $933.25 | $1,737.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,698.24 Typical High $1,737.80 | Professional | None (both parts) | $1,202.26 | $1,698.24 | $1,737.80 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $15,135.61 | Facility | None | $2,630.27 | $5,495.41 | $15,135.61 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $3,019.95 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $3,019.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $346.74 Typical High $831.76 | Professional | 26 · Professional part | $288.40 | $346.74 | $831.76 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,023.29 Typical High $2,137.96 | Professional | TC · Technical part | $851.14 | $1,023.29 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,073.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,445.44 Typical High $3,162.28 | Professional | None (both parts) | $1,000.00 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $389.05 Typical High $794.33 | Professional | 26 · Professional part | $269.15 | $389.05 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,047.13 Typical High $2,344.23 | Professional | TC · Technical part | $724.44 | $1,047.13 | $2,344.23 |
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 $758.58 Median $891.25 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $891.25 | $933.25 |
Where New Jersey 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.
New Jersey· 22nd of 51
$1,820
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.