How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,778 to $12,023Professionalmedian $1,318 · 10th to 90th $955 to $1,995
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 $6,309.57 Typical High $10,964.78 | Facility | None | $2,137.96 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,258.93 Typical High $6,760.83 | Professional | None (both parts) | $1,174.90 | $1,258.93 | $6,760.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $331.13 Typical High $371.54 | Professional | 26 · Professional part | $302.00 | $331.13 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $891.25 Typical High $1,023.29 | Professional | TC · Technical part | $831.76 | $891.25 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $9,549.93 | Facility | None | $3,311.31 | $6,918.31 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,412.54 Typical High $2,238.72 | Professional | None (both parts) | $1,148.15 | $1,412.54 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $676.08 | Professional | 26 · Professional part | $302.00 | $363.08 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $851.14 | $1,047.13 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $25,703.96 | Facility | None | $1,778.28 | $2,454.71 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,000.00 Typical High $1,819.70 | Professional | None (both parts) | $954.99 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $302.00 Typical High $501.19 | Professional | 26 · Professional part | $275.42 | $302.00 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $691.83 Typical High $1,348.96 | Professional | TC · Technical part | $676.08 | $691.83 | $1,348.96 |
Hometown Health Setting Professional Modifier None Typical Low $10.96 Median $1,258.93 Typical High $1,862.09 | Professional | None | $10.96 | $1,258.93 | $1,862.09 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $10.96 Typical High $1,621.81 | Professional | None (both parts) | $10.96 | $10.96 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $4,265.80 | Facility | None | $1,096.48 | $1,096.48 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $10,715.19 | Facility | None | $1,698.24 | $2,630.27 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,258.93 Typical High $1,949.84 | Professional | None (both parts) | $912.01 | $1,258.93 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $426.58 Typical High $588.84 | Professional | 26 · Professional part | $316.23 | $426.58 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $794.33 | $1,047.13 | $1,548.82 |
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 $912.01 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,047.13 |
Where Nevada 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.
Nevada· 18th of 51
$1,950
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.