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 $2,137.96 Median $6,309.57 Typical High $10,964.78 | Facility | None | $2,137.96 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,380.38 Typical High $5,495.41 | Professional | None (both parts) | $1,202.26 | $1,380.38 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $354.81 Typical High $489.78 | Professional | 26 · Professional part | $323.59 | $354.81 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | TC · Technical part | $851.14 | $851.14 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $9,549.93 | Facility | None | $3,311.31 | $6,918.31 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $2,344.23 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $398.11 Typical High $724.44 | Professional | 26 · Professional part | $323.59 | $398.11 | $724.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,000.00 Typical High $1,621.81 | Professional | TC · Technical part | $831.76 | $1,000.00 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $25,703.96 | Facility | None | $1,778.28 | $2,454.71 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,071.52 Typical High $1,862.09 | Professional | None (both parts) | $1,023.29 | $1,071.52 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $323.59 Typical High $537.03 | Professional | 26 · Professional part | $295.12 | $323.59 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $741.31 Typical High $1,318.26 | Professional | TC · Technical part | $724.44 | $741.31 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $11.75 Median $1,288.25 Typical High $1,819.70 | Professional | None | $11.75 | $1,288.25 | $1,819.70 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $11.75 Typical High $1,621.81 | Professional | None (both parts) | $11.75 | $11.75 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,265.80 | Facility | None | $1,071.52 | $1,071.52 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $10,715.19 | Facility | None | $1,698.24 | $2,630.27 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,318.26 Typical High $1,949.84 | Professional | None (both parts) | $977.24 | $1,318.26 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $457.09 Typical High $630.96 | Professional | 26 · Professional part | $338.84 | $457.09 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,023.29 Typical High $1,513.56 | Professional | TC · Technical part | $812.83 | $1,023.29 | $1,513.56 |
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 $912.01 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,047.13 |
Where Nevada 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.
Nevada· 20th of 51
$1,905
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.