How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,778 to $12,023Professionalmedian $1,445 · 10th to 90th $1,096 to $2,344
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 $2,137.96 Median $6,456.54 Typical High $10,964.78 | Facility | None | $2,137.96 | $6,456.54 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $5,495.41 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $5,495.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $398.11 Typical High $549.54 | Professional | 26 · Professional part | $363.08 | $398.11 | $549.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $954.99 Typical High $1,659.59 | Professional | TC · Technical part | $912.01 | $954.99 | $1,659.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $812.83 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $9,549.93 | Facility | None | $3,311.31 | $6,918.31 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $2,511.89 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $436.52 Typical High $812.83 | Professional | 26 · Professional part | $363.08 | $436.52 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,698.24 | Professional | TC · Technical part | $912.01 | $1,096.48 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $20,892.96 | Facility | None | $1,778.28 | $2,454.71 | $20,892.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,122.02 Typical High $2,041.74 | Professional | None (both parts) | $1,096.48 | $1,122.02 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $363.08 Typical High $602.56 | Professional | 26 · Professional part | $331.13 | $363.08 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $776.25 Typical High $1,412.54 | Professional | TC · Technical part | $758.58 | $776.25 | $1,412.54 |
Hometown Health Setting Professional Modifier None Typical Low $12.59 Median $1,380.38 Typical High $2,041.74 | Professional | None | $12.59 | $1,380.38 | $2,041.74 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $12.59 Median $12.59 Typical High $1,778.28 | Professional | None (both parts) | $12.59 | $12.59 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $4,265.80 | Facility | None | $1,202.26 | $1,202.26 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $10,715.19 | Facility | None | $1,698.24 | $2,630.27 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,445.44 Typical High $2,187.76 | Professional | None (both parts) | $1,047.13 | $1,445.44 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $512.86 Typical High $707.95 | Professional | 26 · Professional part | $380.19 | $512.86 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,122.02 Typical High $1,698.24 | Professional | TC · Technical part | $870.96 | $1,122.02 | $1,698.24 |
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 $1,000.00 Median $1,000.00 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,148.15 |
Where Nevada 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.
Nevada· 20th of 51
$1,995
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.