How much rates vary
Facilitymedian $1,318 · 10th to 90th $17 to $4,266Professionalmedian $129 · 10th to 90th $100 to $214
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 $1,698.24 Typical High $4,466.84 | Facility | None | $125.89 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $125.89 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | TC · Technical part | $14.79 | $14.79 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,238.72 | $3,548.13 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $120.23 | $144.54 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $128.82 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.98 Typical High $23.44 | Professional | TC · Technical part | $14.13 | $16.98 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $16.60 Typical High $54.95 | Facility | None | $14.45 | $16.60 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $100.00 | $125.89 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $93.33 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $11.75 Typical High $67.61 | Professional | TC · Technical part | $9.77 | $11.75 | $67.61 |
Hometown Health Setting Professional Modifier None Typical Low $1.55 Median $123.03 Typical High $208.93 | Professional | None | $1.55 | $123.03 | $208.93 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.41 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $1.41 | $109.65 | $181.97 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $16.98 Typical High $25.12 | Professional | TC · Technical part | $8.91 | $16.98 | $25.12 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.32 Median $1.32 Typical High $181.97 | Professional | None (both parts) | $1.32 | $1.32 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $4,265.80 | Facility | None | $123.03 | $123.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $52.48 | $128.82 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $117.49 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.13 Typical High $23.99 | Professional | TC · Technical part | $11.48 | $14.13 | $23.99 |
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 $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $12.59 |
Where Nevada 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.
Nevada· 38th of 51
$141
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.