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 $1,023.29 Median $1,202.26 Typical High $9,332.54 | Facility | None | $1,023.29 | $1,202.26 | $9,332.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,202.26 Typical High $2,137.96 | Professional | None (both parts) | $1,023.29 | $1,202.26 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $354.81 Typical High $630.96 | Professional | 26 · Professional part | $331.13 | $354.81 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $831.76 Typical High $1,445.44 | Professional | TC · Technical part | $691.83 | $831.76 | $1,445.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $380.19 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $7,585.78 Typical High $12,589.25 | Facility | None | $3,162.28 | $7,585.78 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,000.00 Typical High $1,513.56 | Professional | None (both parts) | $812.83 | $1,000.00 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $346.74 Typical High $489.78 | Professional | 26 · Professional part | $281.84 | $346.74 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $645.65 Typical High $1,096.48 | Professional | TC · Technical part | $549.54 | $645.65 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $288.40 Median $645.65 Typical High $1,071.52 | Facility | None | $288.40 | $645.65 | $1,071.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $302.00 | $426.58 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $4,570.88 | Facility | None | $1,737.80 | $1,949.84 | $4,570.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $380.19 Typical High $549.54 | Facility | 26 · Professional part | $83.18 | $380.19 | $549.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $831.76 Typical High $1,174.90 | Facility | TC · Technical part | $177.83 | $831.76 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,819.70 Typical High $5,248.07 | Professional | None (both parts) | $1,000.00 | $1,819.70 | $5,248.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $549.54 Typical High $1,584.89 | Professional | 26 · Professional part | $309.03 | $549.54 | $1,584.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,288.25 Typical High $3,630.78 | Professional | TC · Technical part | $676.08 | $1,288.25 | $3,630.78 |
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 $1,202.26 Median $1,548.82 Typical High $2,041.74 | Professional | None (both parts) | $1,202.26 | $1,548.82 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $489.78 Typical High $616.60 | Professional | 26 · Professional part | $371.54 | $489.78 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,445.44 | Professional | TC · Technical part | $831.76 | $1,047.13 | $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 $776.25 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $851.14 | $933.25 |
Where Kentucky 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.
Kentucky· 37th of 51
$1,479
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.