How much rates vary
Facilitymedian $490 · 10th to 90th $19 to $3,548Professionalmedian $166 · 10th to 90th $120 to $302
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 $125.89 Median $3,630.78 Typical High $7,943.28 | Facility | None | $125.89 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.80 Typical High $16.22 | Professional | TC · Technical part | $13.49 | $13.80 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $114.82 | $165.96 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $147.91 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $19.05 Typical High $48.98 | Professional | TC · Technical part | $11.48 | $19.05 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $18.62 Typical High $346.74 | Facility | None | $14.45 | $18.62 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $138.04 | $199.53 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $302.00 | Professional | 26 · Professional part | $125.89 | $173.78 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $18.62 Typical High $40.74 | Professional | TC · Technical part | $13.18 | $18.62 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $218.78 | Professional | None | $125.89 | $154.88 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $112.20 | $138.04 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $162.18 | Professional | TC · Technical part | $15.14 | $17.78 | $162.18 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $125.89 | $190.55 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $302.00 | Professional | 26 · Professional part | $114.82 | $173.78 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $18.20 Typical High $40.74 | Professional | TC · Technical part | $11.22 | $18.20 | $40.74 |
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 $63.10 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 54 · Surgery only | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $16.22 |
Where Georgia 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.
Georgia· 19th of 51
$178
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.