How much rates vary
Facilitymedian $331 · 10th to 90th $23 to $3,090Professionalmedian $138 · 10th to 90th $110 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 $138.04 Median $4,365.16 Typical High $14,125.38 | Facility | None | $138.04 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $2,570.40 | Professional | None (both parts) | $134.90 | $138.04 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.18 Typical High $18.20 | Professional | TC · Technical part | $13.18 | $13.18 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $112.20 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $100.00 | $120.23 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.60 Typical High $21.38 | Professional | TC · Technical part | $13.80 | $16.60 | $21.38 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $123.03 | $138.04 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $120.23 | $141.25 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $17.78 Typical High $22.39 | Professional | TC · Technical part | $15.85 | $17.78 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $27.54 Typical High $66.07 | Facility | None | $14.45 | $27.54 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $117.49 | $141.25 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $125.89 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.49 Typical High $23.44 | Professional | TC · Technical part | $12.02 | $15.49 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $177.83 | Professional | None | $120.23 | $144.54 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | None | $169.82 | $213.80 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $186.21 Typical High $223.87 | Facility | None | $138.04 | $186.21 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $154.88 Typical High $1,174.90 | Facility | None | $14.13 | $154.88 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $13.80 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $13.80 | $147.91 | $295.12 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $251.19 | Professional | 26 · Professional part | $109.65 | $147.91 | $251.19 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $16.98 Typical High $33.11 | Professional | TC · Technical part | $11.75 | $16.98 | $33.11 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,041.74 | Facility | None | $100.00 | $660.69 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $100.00 | $165.96 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $147.91 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $15.49 Typical High $24.55 | Professional | TC · Technical part | $10.00 | $15.49 | $24.55 |
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 $64.57 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $102.33 Typical High $104.71 | Professional | 54 · Surgery only | $95.50 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $20.42 Typical High $20.89 | Professional | 55 · Aftercare only | $19.05 | $20.42 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.88 | $13.80 | $13.80 |
Where Virginia 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.
Virginia· 39th 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.