How much rates vary
Facilitymedian $3,548 · 10th to 90th $676 to $151,356Professionalmedian $933 · 10th to 90th $407 to $9,333
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 $2,454.71 Median $8,128.31 Typical High $19,054.61 | Facility | None | $2,454.71 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $1,230.27 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $323.59 Typical High $398.11 | Professional | 26 · Professional part | $147.91 | $323.59 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $223.87 | $741.31 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $7,244.36 Typical High $20,417.38 | Facility | None | $1,047.13 | $7,244.36 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $549.54 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $549.54 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $363.08 Typical High $630.96 | Professional | 26 · Professional part | $60.26 | $363.08 | $630.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $891.25 Typical High $1,548.82 | Professional | TC · Technical part | $794.33 | $891.25 | $1,548.82 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $281.84 | $407.38 | $724.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $281.84 Typical High $501.19 | Professional | 26 · Professional part | $199.53 | $281.84 | $501.19 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $120.23 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $10,000.00 | Facility | None | $660.69 | $1,348.96 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $5,888.44 Typical High $7,244.36 | Professional | None (both parts) | $5,888.44 | $5,888.44 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,318.26 | $2,290.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $10,000.00 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $10,000.00 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | 26 · Professional part | $2,754.23 | $2,754.23 | $2,754.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,606.93 Median $6,606.93 Typical High $7,413.10 | Professional | TC · Technical part | $6,606.93 | $6,606.93 | $7,413.10 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $151,356.12 Typical High $251,188.64 | Facility | None | $794.33 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,318.26 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,380.38 Typical High $4,168.69 | Professional | None (both parts) | $912.01 | $1,380.38 | $4,168.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $933.25 Typical High $3,019.95 | Professional | 26 · Professional part | $112.20 | $933.25 | $3,019.95 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $1,380.38 | Professional | TC · Technical part | $173.78 | $416.87 | $1,380.38 |
3 more rates 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 $912.01 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $912.01 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $181.97 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $120.23 | $245.47 | $245.47 |
Where California sits
The same service costs 7.1 times more in Wisconsin than in Kentucky. 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.
California· 33rd of 51
$1,318
WI $5,248KY $741
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.