How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,122 to $11,220Professionalmedian $1,175 · 10th to 90th $794 to $2,089
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 $1,148.15 Median $1,348.96 Typical High $10,964.78 | Facility | None | $1,148.15 | $1,348.96 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,348.96 Typical High $2,344.23 | Professional | None (both parts) | $1,148.15 | $1,348.96 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $398.11 Typical High $630.96 | Professional | 26 · Professional part | $363.08 | $398.11 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,621.81 | Professional | TC · Technical part | $776.25 | $933.25 | $1,621.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $446.68 Typical High $489.78 | Professional | 26 · Professional part | $436.52 | $446.68 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $7,244.36 Typical High $12,302.69 | Facility | None | $3,162.28 | $7,244.36 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,584.89 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $389.05 Typical High $537.03 | Professional | 26 · Professional part | $316.23 | $389.05 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $676.08 Typical High $1,148.15 | Professional | TC · Technical part | $575.44 | $676.08 | $1,148.15 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $1,412.54 | Facility | None | $346.74 | $724.44 | $1,412.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $346.74 Median $691.83 Typical High $1,445.44 | Professional | None (both parts) | $346.74 | $691.83 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $4,570.88 | Facility | None | $1,862.09 | $1,949.84 | $4,570.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $426.58 Typical High $616.60 | Facility | 26 · Professional part | $91.20 | $426.58 | $616.60 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $912.01 Typical High $1,318.26 | Facility | TC · Technical part | $194.98 | $912.01 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $2,041.74 Typical High $5,754.40 | Professional | None (both parts) | $1,096.48 | $2,041.74 | $5,754.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $616.60 Typical High $1,737.80 | Professional | 26 · Professional part | $346.74 | $616.60 | $1,737.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,380.38 Typical High $4,073.80 | Professional | TC · Technical part | $758.58 | $1,380.38 | $4,073.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,659.59 Typical High $2,238.72 | Professional | None (both parts) | $1,318.26 | $1,659.59 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $537.03 Typical High $691.83 | Professional | 26 · Professional part | $416.87 | $537.03 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,096.48 Typical High $1,584.89 | Professional | TC · Technical part | $891.25 | $1,096.48 | $1,584.89 |
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 $851.14 Median $933.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,023.29 |
Where Kentucky 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.
Kentucky· 41st of 51
$1,479
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.