How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,514 to $5,248Professionalmedian $1,318 · 10th to 90th $339 to $2,455
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,230.27 Typical High $1,584.89 | Professional | None (both parts) | $1,148.15 | $1,230.27 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $323.59 Typical High $426.58 | Professional | 26 · Professional part | $316.23 | $323.59 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $912.01 Typical High $1,096.48 | Professional | TC · Technical part | $851.14 | $912.01 | $1,096.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,258.93 Typical High $1,412.54 | Professional | None (both parts) | $338.84 | $1,258.93 | $1,412.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | 26 · Professional part | $371.54 | $371.54 | $407.38 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $933.25 | $1,023.29 | $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 $1,148.15 Median $1,412.54 Typical High $3,235.94 | Professional | None (both parts) | $1,148.15 | $1,412.54 | $3,235.94 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $398.11 Typical High $1,071.52 | Professional | 26 · Professional part | $331.13 | $398.11 | $1,071.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $2,187.76 | Professional | TC · Technical part | $812.83 | $1,000.00 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,479.11 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $407.38 Typical High $707.95 | Professional | 26 · Professional part | $354.81 | $407.38 | $707.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,047.13 Typical High $1,905.46 | Professional | TC · Technical part | $912.01 | $1,047.13 | $1,905.46 |
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 $1,148.15 Median $1,659.59 Typical High $2,884.03 | Professional | None (both parts) | $1,148.15 | $1,659.59 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $457.09 Typical High $794.33 | Professional | 26 · Professional part | $316.23 | $457.09 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,202.26 Typical High $2,089.30 | Professional | TC · Technical part | $831.76 | $1,202.26 | $2,089.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,995.26 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,995.26 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | 26 · Professional part | $302.00 | $302.00 | $537.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $1,445.44 | Professional | TC · Technical part | $741.31 | $741.31 | $1,445.44 |
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 $870.96 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $870.96 | $933.25 | $933.25 |
Where Maryland 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.
Maryland· 40th of 51
$1,514
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.