How much rates vary
Facilitymedian $219 · 10th to 90th $65 to $1,288Professionalmedian $98 · 10th to 90th $45 to $170
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 $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $85.11 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $38.90 | $51.29 | $66.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $44.67 | $54.95 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $389.05 | Facility | None | $64.57 | $67.61 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $83.18 | $123.03 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $69.18 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $56.23 Typical High $75.86 | Professional | TC · Technical part | $34.67 | $56.23 | $75.86 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $302.00 Typical High $1,288.25 | Facility | None | $54.95 | $302.00 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $616.60 | Professional | None (both parts) | $91.20 | $112.20 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $323.59 | Professional | 26 · Professional part | $51.29 | $61.66 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $295.12 | Professional | TC · Technical part | $39.81 | $54.95 | $295.12 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $89.13 | $102.33 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $48.98 | $56.23 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $38.90 | $47.86 | $72.44 |
4 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 $42.66 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $16.98 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.85 Typical High $20.42 | Professional | 55 · Aftercare only | $12.88 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.72 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.51 | $10.72 | $13.80 |
Where Kansas sits
The same service costs 5.9 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.
Kansas· 39th of 51
$100
AK $331AL $56.23
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.