How much rates vary
Facilitymedian $95 · 10th to 90th $45 to $1,148Professionalmedian $89 · 10th to 90th $68 to $135
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 $70.79 Median $83.18 Typical High $95.50 | Facility | None | $70.79 | $83.18 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $70.79 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $38.02 | $41.69 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $36.31 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $3,801.89 Typical High $11,220.18 | Facility | None | $575.44 | $3,801.89 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $67.61 | $89.13 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $45.71 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $45.71 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $54.95 Typical High $89.13 | Facility | None | $36.31 | $54.95 | $89.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $35.48 | $48.98 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $398.11 | Facility | None | $34.67 | $63.10 | $398.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $60.26 Typical High $87.10 | Facility | 26 · Professional part | $12.88 | $60.26 | $87.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $61.66 Typical High $89.13 | Facility | TC · Technical part | $13.49 | $61.66 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $512.86 | Professional | None (both parts) | $79.43 | $128.82 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $275.42 | Professional | 26 · Professional part | $43.65 | $66.07 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $263.03 | Professional | TC · Technical part | $35.48 | $57.54 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $87.10 | $114.82 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $61.66 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $36.31 | $56.23 | $66.07 |
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 $35.48 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.22 Typical High $14.13 | Professional | 55 · Aftercare only | $10.47 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.59 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.08 | $7.59 | $9.55 |
Where Kentucky 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.
Kentucky· 46th of 51
$89.13
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.