How much rates vary
Facilitymedian $2,630 · 10th to 90th $40 to $6,607Professionalmedian $182 · 10th to 90th $123 to $288
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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $123.03 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $13.18 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $120.23 | $173.78 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $107.15 | $154.88 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.50 Typical High $28.18 | Professional | TC · Technical part | $13.49 | $19.50 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.11 Typical High $100.00 | Facility | None | $28.84 | $33.11 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $165.96 | $186.21 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $147.91 | $169.82 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $17.78 Typical High $38.90 | Professional | TC · Technical part | $12.30 | $17.78 | $38.90 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $199.53 | $199.53 | $245.47 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $114.82 | $162.18 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $281.84 | Professional | 26 · Professional part | $102.33 | $141.25 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $17.78 Typical High $33.11 | Professional | TC · Technical part | $11.22 | $17.78 | $33.11 |
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 $61.66 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $24.55 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | 54 · Surgery only | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $18.62 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.30 | $18.62 | $18.62 |
Where Connecticut sits
The same service costs 4.7 times more in Alaska than in Alabama. 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.
Connecticut· 18th of 51
$182
AK $490AL $105
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.