How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,862 to $10,233Professionalmedian $1,738 · 10th to 90th $1,318 to $3,162
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 $2,951.21 Median $7,943.28 Typical High $16,595.87 | Facility | None | $2,951.21 | $7,943.28 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,905.46 Typical High $2,238.72 | Professional | None (both parts) | $1,288.25 | $1,905.46 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $588.84 Typical High $616.60 | Professional | 26 · Professional part | $407.38 | $588.84 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $1,348.96 | Professional | TC · Technical part | $891.25 | $1,288.25 | $1,348.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $6,165.95 Typical High $6,456.54 | Facility | None | $2,041.74 | $6,165.95 | $6,456.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $11,220.18 | Facility | None | $2,041.74 | $2,137.96 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,737.80 Typical High $2,187.76 | Professional | None (both parts) | $1,318.26 | $1,737.80 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $562.34 Typical High $691.83 | Professional | 26 · Professional part | $416.87 | $562.34 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $891.25 | $1,202.26 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $11,220.18 | Facility | None | $1,148.15 | $2,454.71 | $11,220.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,862.09 Typical High $8,317.64 | Professional | None (both parts) | $1,412.54 | $1,862.09 | $8,317.64 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $588.84 Typical High $2,290.87 | Professional | 26 · Professional part | $426.58 | $588.84 | $2,290.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,288.25 Typical High $5,888.44 | Professional | TC · Technical part | $977.24 | $1,288.25 | $5,888.44 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,819.70 Typical High $2,951.21 | Professional | None (both parts) | $1,318.26 | $1,819.70 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $575.44 Typical High $891.25 | Professional | 26 · Professional part | $389.05 | $575.44 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | TC · Technical part | $933.25 | $1,258.93 | $2,089.30 |
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 $977.24 Median $1,412.54 Typical High $1,445.44 | Professional | 54 · Surgery only | $977.24 | $1,412.54 | $1,445.44 |
Where Kansas 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.
Kansas· 15th of 51
$2,239
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.