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 $1,318.26 Median $8,317.64 Typical High $14,125.38 | Facility | None | $1,318.26 | $8,317.64 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,258.93 Typical High $7,413.10 | Professional | None (both parts) | $1,230.27 | $1,258.93 | $7,413.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $346.74 Typical High $380.19 | Professional | 26 · Professional part | $323.59 | $346.74 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | TC · Technical part | $912.01 | $912.01 | $954.99 |
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 $1,096.48 Median $1,905.46 Typical High $2,818.38 | Professional | None (both parts) | $1,096.48 | $1,905.46 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $549.54 Typical High $870.96 | Professional | 26 · Professional part | $331.13 | $549.54 | $870.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,348.96 Typical High $1,949.84 | Professional | TC · Technical part | $758.58 | $1,348.96 | $1,949.84 |
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 $1,380.38 Median $2,187.76 Typical High $3,801.89 | Professional | None (both parts) | $1,380.38 | $2,187.76 | $3,801.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $660.69 Typical High $1,174.90 | Professional | 26 · Professional part | $407.38 | $660.69 | $1,174.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,513.56 Typical High $2,691.53 | Professional | TC · Technical part | $977.24 | $1,513.56 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $4,265.80 | Professional | None | $1,445.44 | $1,584.89 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $457.09 Typical High $4,265.80 | Professional | 26 · Professional part | $426.58 | $457.09 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,122.02 Typical High $4,265.80 | Professional | TC · Technical part | $1,000.00 | $1,122.02 | $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 $1,318.26 Median $1,905.46 Typical High $4,365.16 | Professional | None (both parts) | $1,318.26 | $1,905.46 | $4,365.16 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $588.84 Typical High $1,230.27 | Professional | 26 · Professional part | $371.54 | $588.84 | $1,230.27 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,348.96 Typical High $3,090.30 | Professional | TC · Technical part | $954.99 | $1,348.96 | $3,090.30 |
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 $1,000.00 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,000.00 |
Where Georgia sits
The same service costs 3.9 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· 22nd of 51
$1,950
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.