How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,549 to $15,136Professionalmedian $1,413 · 10th to 90th $1,230 to $3,090
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 $1,412.54 Median $9,772.37 Typical High $19,498.45 | Facility | None | $1,412.54 | $9,772.37 | $19,498.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $426.58 Typical High $426.58 | Facility | 26 · Professional part | $407.38 | $426.58 | $426.58 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $954.99 Median $977.24 Typical High $977.24 | Facility | TC · Technical part | $954.99 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,348.96 Typical High $2,511.89 | Professional | None (both parts) | $1,258.93 | $1,348.96 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $407.38 Typical High $676.08 | Professional | 26 · Professional part | $354.81 | $407.38 | $676.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $954.99 Typical High $1,659.59 | Professional | TC · Technical part | $891.25 | $954.99 | $1,659.59 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $524.81 Typical High $691.83 | Professional | 26 · Professional part | $407.38 | $524.81 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $15,848.93 | Facility | None | $1,949.84 | $3,235.94 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,380.38 Typical High $2,754.23 | Professional | None (both parts) | $1,318.26 | $1,380.38 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $812.83 | Professional | 26 · Professional part | $346.74 | $407.38 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,000.00 Typical High $1,949.84 | Professional | TC · Technical part | $954.99 | $1,000.00 | $1,949.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,862.09 Typical High $1,905.46 | Professional | None (both parts) | $1,318.26 | $1,862.09 | $1,905.46 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $14,791.08 | Facility | None | $2,630.27 | $5,495.41 | $14,791.08 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,513.56 Typical High $3,388.44 | Professional | None (both parts) | $1,288.25 | $1,513.56 | $3,388.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $416.87 Typical High $954.99 | Professional | 26 · Professional part | $346.74 | $416.87 | $954.99 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,096.48 Typical High $2,398.83 | Professional | TC · Technical part | $933.25 | $1,096.48 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,073.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,621.81 Typical High $3,467.37 | Professional | None (both parts) | $1,096.48 | $1,621.81 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $467.74 Typical High $954.99 | Professional | 26 · Professional part | $323.59 | $467.74 | $954.99 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,122.02 Typical High $2,511.89 | Professional | TC · Technical part | $776.25 | $1,122.02 | $2,511.89 |
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 $870.96 Median $1,023.29 Typical High $1,071.52 | Professional | 54 · Surgery only | $870.96 | $1,023.29 | $1,071.52 |
Where New Jersey 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.
New Jersey· 26th of 51
$1,862
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.