How much rates vary
Facilitymedian $912 · 10th to 90th $55 to $5,370Professionalmedian $170 · 10th to 90th $126 to $457
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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $1,174.90 | Professional | None (both parts) | $123.03 | $141.25 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | 26 · Professional part | $109.65 | $123.03 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $17.78 | Professional | TC · Technical part | $14.45 | $16.22 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $134.90 | $169.82 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $123.03 | $151.36 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $13.49 Typical High $28.18 | Professional | TC · Technical part | $10.23 | $13.49 | $28.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $125.89 | $131.83 | $190.55 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $120.23 | $169.82 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.14 Typical High $21.88 | Professional | TC · Technical part | $13.80 | $15.14 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $66.07 | Facility | None | $14.13 | $19.95 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $123.03 | $158.49 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $109.65 | $144.54 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $15.14 Typical High $30.90 | Professional | TC · Technical part | $12.88 | $15.14 | $30.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,288.25 | Facility | None | $54.95 | $316.23 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $316.23 Typical High $1,148.15 | Professional | None (both parts) | $134.90 | $316.23 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $281.84 Typical High $812.83 | Professional | 26 · Professional part | $123.03 | $281.84 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $30.90 Typical High $676.08 | Professional | TC · Technical part | $12.59 | $30.90 | $676.08 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $125.89 | $177.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $158.49 Typical High $302.00 | Professional | 26 · Professional part | $114.82 | $158.49 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.98 Typical High $39.81 | Professional | TC · Technical part | $12.30 | $16.98 | $39.81 |
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 $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | 54 · Surgery only | $93.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $22.91 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.13 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.30 | $14.13 | $15.14 |
Where Missouri 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.
Missouri· 24th of 51
$170
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.