How much rates vary
Facilitymedian $110 · 10th to 90th $54 to $617Professionalmedian $89 · 10th to 90th $49 to $166
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 Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $83.18 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $46.77 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $41.69 | $77.62 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $48.98 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $48.98 | $87.10 | $97.72 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $44.67 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $43.65 | $43.65 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $602.56 | Facility | None | $51.29 | $81.28 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $79.43 | $107.15 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $56.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $51.29 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $165.96 | Professional | None | $112.20 | $128.82 | $165.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $60.26 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $69.18 | $85.11 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $77.62 | $117.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $34.67 | $57.54 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $91.20 | $91.20 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $47.86 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $93.33 | Professional | TC · Technical part | $43.65 | $43.65 | $93.33 |
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 $41.69 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $41.69 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.98 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $12.59 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.32 | $8.91 | $8.91 |
Where Maryland 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.
Maryland· 45th of 51
$91.20
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.