How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,549 to $14,791Professionalmedian $1,318 · 10th to 90th $1,122 to $2,818
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 $1,318.26 Median $9,549.93 Typical High $19,054.61 | Facility | None | $1,318.26 | $9,549.93 | $19,054.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $363.08 Median $389.05 Typical High $389.05 | Facility | 26 · Professional part | $363.08 | $389.05 | $389.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $933.25 Typical High $933.25 | Facility | TC · Technical part | $912.01 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $2,570.40 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $363.08 Typical High $602.56 | Professional | 26 · Professional part | $323.59 | $363.08 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,659.59 | Professional | TC · Technical part | $794.33 | $912.01 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $15,848.93 | Facility | None | $1,949.84 | $3,235.94 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,258.93 Typical High $2,570.40 | Professional | None (both parts) | $1,174.90 | $1,258.93 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $724.44 | Professional | 26 · Professional part | $316.23 | $371.54 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $891.25 Typical High $1,862.09 | Professional | TC · Technical part | $851.14 | $891.25 | $1,862.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,258.93 | $1,698.24 | $1,698.24 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $15,135.61 | Facility | None | $2,630.27 | $5,495.41 | $15,135.61 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $3,162.28 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $3,162.28 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $891.25 | Professional | 26 · Professional part | $316.23 | $371.54 | $891.25 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,000.00 Typical High $2,238.72 | Professional | TC · Technical part | $851.14 | $1,000.00 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,073.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,445.44 Typical High $3,162.28 | Professional | None (both parts) | $1,000.00 | $1,445.44 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $416.87 Typical High $851.14 | Professional | 26 · Professional part | $288.40 | $416.87 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,023.29 Typical High $2,290.87 | Professional | TC · Technical part | $691.83 | $1,023.29 | $2,290.87 |
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 $954.99 Typical High $1,000.00 | Professional | 54 · Surgery only | $812.83 | $954.99 | $1,000.00 |
Where New Jersey 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.
New Jersey· 24th of 51
$1,820
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.