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 $1,258.93 Median $1,584.89 Typical High $1,949.84 | Professional | None (both parts) | $1,258.93 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $478.63 Typical High $588.84 | Professional | 26 · Professional part | $354.81 | $478.63 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,122.02 Typical High $1,348.96 | Professional | TC · Technical part | $891.25 | $1,122.02 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $10,471.29 Typical High $14,454.40 | Facility | None | $2,754.23 | $10,471.29 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $2,187.76 Typical High $2,818.38 | Professional | None (both parts) | $1,071.52 | $2,187.76 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $645.65 Typical High $831.76 | Professional | 26 · Professional part | $323.59 | $645.65 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,513.56 Typical High $1,995.26 | Professional | TC · Technical part | $741.31 | $1,513.56 | $1,995.26 |
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 $1,479.11 Median $1,905.46 Typical High $3,311.31 | Professional | None (both parts) | $1,479.11 | $1,905.46 | $3,311.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $549.54 Typical High $891.25 | Professional | 26 · Professional part | $436.52 | $549.54 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,348.96 Typical High $2,344.23 | Professional | TC · Technical part | $1,096.48 | $1,348.96 | $2,344.23 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $2,187.76 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $2,187.76 |
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 $1,318.26 Median $1,949.84 Typical High $4,265.80 | Professional | None (both parts) | $1,318.26 | $1,949.84 | $4,265.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $562.34 Typical High $1,258.93 | Professional | 26 · Professional part | $363.08 | $562.34 | $1,258.93 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,348.96 Typical High $2,951.21 | Professional | TC · Technical part | $870.96 | $1,348.96 | $2,951.21 |
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 $812.83 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $812.83 | $1,202.26 | $1,202.26 |
Where Connecticut 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.
Connecticut· 10th of 51
$2,399
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.