How much rates vary
Facilitymedian $2,291 · 10th to 90th $676 to $9,772Professionalmedian $1,905 · 10th to 90th $1,175 to $3,236
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 $1,230.27 Median $7,585.78 Typical High $13,803.84 | Facility | None | $1,230.27 | $7,585.78 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,348.96 Typical High $3,467.37 | Professional | None (both parts) | $1,230.27 | $1,348.96 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $398.11 Typical High $831.76 | Professional | 26 · Professional part | $338.84 | $398.11 | $831.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $954.99 Typical High $1,995.26 | Professional | TC · Technical part | $891.25 | $954.99 | $1,995.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $691.83 Typical High $851.14 | Professional | 26 · Professional part | $398.11 | $691.83 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $8,912.51 | Facility | None | $575.44 | $1,148.15 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,949.84 Typical High $2,884.03 | Professional | None (both parts) | $1,122.02 | $1,949.84 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $616.60 Typical High $933.25 | Professional | 26 · Professional part | $354.81 | $616.60 | $933.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,318.26 Typical High $1,905.46 | Professional | TC · Technical part | $758.58 | $1,318.26 | $1,905.46 |
CareSource Setting Professional Modifier None (both parts) Typical Low $457.09 Median $954.99 Typical High $1,513.56 | Professional | None (both parts) | $457.09 | $954.99 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $8,709.64 | Facility | None | $1,698.24 | $2,238.72 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,187.76 Typical High $3,890.45 | Professional | None (both parts) | $1,412.54 | $2,187.76 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $707.95 Typical High $1,230.27 | Professional | 26 · Professional part | $436.52 | $707.95 | $1,230.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,479.11 Typical High $2,630.27 | Professional | TC · Technical part | $977.24 | $1,479.11 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $9,332.54 | Professional | None | $1,445.44 | $1,584.89 | $9,332.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $489.78 Typical High $4,265.80 | Professional | 26 · Professional part | $446.68 | $489.78 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,122.02 Typical High $6,309.57 | Professional | TC · Technical part | $977.24 | $1,122.02 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $9,120.11 | Facility | None | $1,258.93 | $2,884.03 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,949.84 Typical High $4,365.16 | Professional | None (both parts) | $1,318.26 | $1,949.84 | $4,365.16 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $630.96 Typical High $1,318.26 | Professional | 26 · Professional part | $389.05 | $630.96 | $1,318.26 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,318.26 Typical High $3,090.30 | Professional | TC · Technical part | $933.25 | $1,318.26 | $3,090.30 |
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 $933.25 Median $933.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,023.29 |
Where Georgia 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.
Georgia· 24th of 51
$1,950
WI $4,898NY $1,259
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.