How much rates vary
Facilitymedian $245 · 10th to 90th $68 to $6,310Professionalmedian $55 · 10th to 90th $44 to $398
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $33.88 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $13.18 | $20.89 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $31.62 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $38.02 | $51.29 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $22.39 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $28.84 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $117.49 | Facility | None | $56.23 | $100.00 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $138.04 Typical High $245.47 | Facility | None | $53.70 | $138.04 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $64.57 | $346.74 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $151.36 Typical High $158.49 | Professional | 26 · Professional part | $27.54 | $151.36 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $194.98 Typical High $239.88 | Professional | TC · Technical part | $38.02 | $194.98 | $239.88 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $51.29 | $87.10 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $37.15 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $89.13 | Professional | TC · Technical part | $30.20 | $48.98 | $89.13 |
5 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 52 · Reduced service Typical Low $16.98 Median $26.30 Typical High $33.11 | Professional | 52 · Reduced service | $16.98 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.47 Typical High $13.49 | Professional | 53 · Discontinued | $6.76 | $10.47 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $39.81 Typical High $50.12 | Professional | 54 · Surgery only | $25.70 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $7.94 Typical High $10.00 | Professional | 55 · Aftercare only | $5.13 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $5.25 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.39 | $5.25 | $6.76 |
Where Missouri sits
The same service costs 3.3 times more in Nebraska 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.
Missouri· 31st of 51
$54.95
NE $112NY $33.88
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.