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 $5,248.07 Median $9,120.11 Typical High $15,488.17 | Facility | None | $5,248.07 | $9,120.11 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,445.44 Typical High $1,737.80 | Professional | None (both parts) | $1,096.48 | $1,445.44 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $426.58 Typical High $512.86 | Professional | 26 · Professional part | $309.03 | $426.58 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,023.29 Typical High $1,230.27 | Professional | TC · Technical part | $794.33 | $1,023.29 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $10,471.29 Typical High $14,454.40 | Facility | None | $2,511.89 | $10,471.29 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,995.26 Typical High $2,570.40 | Professional | None (both parts) | $954.99 | $1,995.26 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $562.34 Typical High $741.31 | Professional | 26 · Professional part | $288.40 | $562.34 | $741.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,445.44 Typical High $1,819.70 | Professional | TC · Technical part | $676.08 | $1,445.44 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $17,378.01 | Facility | None | $3,388.44 | $3,981.07 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,737.80 Typical High $3,019.95 | Professional | None (both parts) | $1,380.38 | $1,737.80 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $478.63 Typical High $776.25 | Professional | 26 · Professional part | $380.19 | $478.63 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,230.27 Typical High $2,137.96 | Professional | TC · Technical part | $1,023.29 | $1,230.27 | $2,137.96 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $2,041.74 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $2,041.74 |
Health New England Setting Facility Modifier None Typical Low $7,943.28 Median $8,317.64 Typical High $13,489.63 | Facility | None | $7,943.28 | $8,317.64 | $13,489.63 |
Health New England Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,174.90 Typical High $1,230.27 | Professional | None (both parts) | $616.60 | $1,174.90 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $12,882.50 | Facility | None | $1,000.00 | $6,165.95 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,778.28 Typical High $3,801.89 | Professional | None (both parts) | $1,202.26 | $1,778.28 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $489.78 Typical High $1,122.02 | Professional | 26 · Professional part | $323.59 | $489.78 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,258.93 Typical High $2,691.53 | Professional | TC · Technical part | $812.83 | $1,258.93 | $2,691.53 |
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 $724.44 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $724.44 | $1,071.52 | $1,071.52 |
Where Connecticut 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.
Connecticut· 14th of 51
$1,995
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.