How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,288 to $9,333Professionalmedian $1,230 · 10th to 90th $1,000 to $7,413
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 $7,244.36 Typical High $10,232.93 | Facility | None | $2,137.96 | $7,244.36 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $2,137.96 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $630.96 | Professional | 26 · Professional part | $302.00 | $302.00 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $724.44 Typical High $1,479.11 | Professional | TC · Technical part | $691.83 | $724.44 | $1,479.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $257.04 | $288.40 | $288.40 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,949.84 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,949.84 | $4,570.88 | $12,022.64 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $2,187.76 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $2,187.76 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $660.69 | Professional | 26 · Professional part | $331.13 | $331.13 | $660.69 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Professional | TC · Technical part | $776.25 | $776.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $6,760.83 | Facility | None | $1,698.24 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $1,174.90 | $1,202.26 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $354.81 Typical High $588.84 | Professional | 26 · Professional part | $338.84 | $354.81 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,348.96 | Professional | TC · Technical part | $831.76 | $831.76 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,235.94 Typical High $8,128.31 | Facility | None | $891.25 | $3,235.94 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,548.82 Typical High $7,413.10 | Professional | None (both parts) | $1,122.02 | $1,548.82 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $457.09 Typical High $2,041.74 | Professional | 26 · Professional part | $323.59 | $457.09 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,071.52 Typical High $5,370.32 | Professional | TC · Technical part | $776.25 | $1,071.52 | $5,370.32 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,258.93 Typical High $1,995.26 | Professional | None (both parts) | $1,096.48 | $1,258.93 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $371.54 Typical High $602.56 | Professional | 26 · Professional part | $323.59 | $371.54 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $776.25 | $870.96 | $1,412.54 |
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 $741.31 Median $741.31 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $741.31 | $870.96 |
Where Arizona sits
The same service costs 3.8 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.
Arizona· 16th of 51
$2,042
WI $4,467NY $1,175
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.