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 $1,288.25 Median $1,737.80 Typical High $2,089.30 | Professional | None (both parts) | $1,288.25 | $1,737.80 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $537.03 Typical High $645.65 | Professional | 26 · Professional part | $363.08 | $537.03 | $645.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,174.90 Typical High $1,445.44 | Professional | TC · Technical part | $912.01 | $1,174.90 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $10,471.29 Typical High $14,454.40 | Facility | None | $2,818.38 | $10,471.29 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $2,398.83 Typical High $3,019.95 | Professional | None (both parts) | $1,148.15 | $2,398.83 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $707.95 Typical High $933.25 | Professional | 26 · Professional part | $363.08 | $707.95 | $933.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,698.24 Typical High $2,137.96 | Professional | TC · Technical part | $776.25 | $1,698.24 | $2,137.96 |
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 $1,659.59 Median $2,041.74 Typical High $3,548.13 | Professional | None (both parts) | $1,659.59 | $2,041.74 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $616.60 Typical High $1,000.00 | Professional | 26 · Professional part | $489.78 | $616.60 | $1,000.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,412.54 Typical High $2,454.71 | Professional | TC · Technical part | $1,202.26 | $1,412.54 | $2,454.71 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,454.71 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,454.71 |
Health New England Setting Facility Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | None | $14,125.38 | $14,125.38 | $14,125.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
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 $1,445.44 Median $2,089.30 Typical High $4,570.88 | Professional | None (both parts) | $1,445.44 | $2,089.30 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $616.60 Typical High $1,412.54 | Professional | 26 · Professional part | $407.38 | $616.60 | $1,412.54 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,479.11 Typical High $3,235.94 | Professional | TC · Technical part | $954.99 | $1,479.11 | $3,235.94 |
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 $870.96 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $870.96 | $1,288.25 | $1,288.25 |
Where Connecticut sits
The same service costs 3.9 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
$2,455
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.