How much rates vary
Facilitymedian $501 · 10th to 90th $16 to $4,074Professionalmedian $132 · 10th to 90th $102 to $234
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 $1,122.02 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,122.02 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $4,168.69 | Professional | None (both parts) | $125.89 | $125.89 | $4,168.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $323.59 | Professional | 26 · Professional part | $109.65 | $109.65 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $794.33 Typical High $3,311.31 | Facility | None | $371.54 | $794.33 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $95.50 | $123.03 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $112.20 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $9.77 Typical High $74.13 | Professional | TC · Technical part | $7.59 | $9.77 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $147.91 | Facility | None | $13.49 | $17.38 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $169.82 | Facility | None | $13.80 | $20.89 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $117.49 | $138.04 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $107.15 | $123.03 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $15.49 Typical High $28.84 | Professional | TC · Technical part | $10.96 | $15.49 | $28.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $100.00 | Facility | None | $13.80 | $19.95 | $100.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $117.49 | $138.04 | $263.03 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $107.15 | $123.03 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $15.14 Typical High $28.84 | Professional | TC · Technical part | $10.96 | $15.14 | $28.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $97.72 | $123.03 | $165.96 |
SummaCare Setting Facility Modifier None Typical Low $7.41 Median $7.76 Typical High $8.91 | Facility | None | $7.41 | $7.76 | $8.91 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $125.89 | $125.89 | $190.55 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $112.20 | $169.82 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | TC · Technical part | $14.13 | $14.13 | $18.62 |
United Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $2,398.83 | Facility | None | $97.72 | $275.42 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $112.20 | $141.25 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $125.89 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $13.80 Typical High $31.62 | Professional | TC · Technical part | $10.00 | $13.80 | $31.62 |
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 $61.66 Typical High $190.55 | Professional | 52 · Reduced service | $61.66 | $61.66 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $75.86 | Professional | 53 · Discontinued | $25.12 | $25.12 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $288.40 | Professional | 54 · Surgery only | $93.33 | $93.33 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $57.54 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $38.02 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $38.02 |
Where Ohio 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.
Ohio· 41st of 51
$132
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.