How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,000 to $10,965Professionalmedian $1,175 · 10th to 90th $794 to $2,089
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 $1,122.02 Median $1,202.26 Typical High $8,511.38 | Facility | None | $1,122.02 | $1,202.26 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $1,778.28 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $371.54 Typical High $416.87 | Professional | 26 · Professional part | $346.74 | $371.54 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $912.01 Typical High $1,071.52 | Professional | TC · Technical part | $776.25 | $912.01 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $5,495.41 Typical High $12,302.69 | Facility | None | $2,238.72 | $5,495.41 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,047.13 Typical High $1,584.89 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $363.08 Typical High $512.86 | Professional | 26 · Professional part | $295.12 | $363.08 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $1,174.90 | Professional | TC · Technical part | $588.84 | $691.83 | $1,174.90 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $724.44 Typical High $1,174.90 | Facility | None | $302.00 | $724.44 | $1,174.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $316.23 | $446.68 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,089.30 | Facility | None | $1,862.09 | $1,905.46 | $2,089.30 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $398.11 Typical High $575.44 | Facility | 26 · Professional part | $87.10 | $398.11 | $575.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $933.25 Typical High $1,318.26 | Facility | TC · Technical part | $199.53 | $933.25 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,995.26 Typical High $5,754.40 | Professional | None (both parts) | $1,096.48 | $1,995.26 | $5,754.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $575.44 Typical High $1,659.59 | Professional | 26 · Professional part | $323.59 | $575.44 | $1,659.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,412.54 Typical High $4,073.80 | Professional | TC · Technical part | $758.58 | $1,412.54 | $4,073.80 |
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 $1,318.26 Median $1,621.81 Typical High $2,238.72 | Professional | None (both parts) | $1,318.26 | $1,621.81 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $512.86 Typical High $645.65 | Professional | 26 · Professional part | $389.05 | $512.86 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,122.02 Typical High $1,621.81 | Professional | TC · Technical part | $891.25 | $1,122.02 | $1,621.81 |
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 $851.14 Median $933.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,023.29 |
Where Kentucky 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.
Kentucky· 46th of 51
$1,413
WI $4,898NY $1,259
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.