How much rates vary
Facilitymedian $871 · 10th to 90th $78 to $5,012Professionalmedian $115 · 10th to 90th $83 to $257
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 $69.18 Median $69.18 Typical High $123.03 | Facility | None | $69.18 | $69.18 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $69.18 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $45.71 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $39.81 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $85.11 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $61.66 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $35.48 | $45.71 | $83.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $100.00 | $109.65 | $158.49 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $53.70 | $75.86 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $51.29 | $56.23 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $1,659.59 | Facility | None | $53.70 | $81.28 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $83.18 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $61.66 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $34.67 | $46.77 | $87.10 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $251.19 Typical High $1,288.25 | Facility | None | $54.95 | $251.19 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $104.71 | $181.97 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $107.15 Typical High $323.59 | Professional | 26 · Professional part | $54.95 | $107.15 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $85.11 Typical High $295.12 | Professional | TC · Technical part | $43.65 | $85.11 | $295.12 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $93.33 | $138.04 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $72.44 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $63.10 | $95.50 |
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 $34.67 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $10.47 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.51 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.92 | $8.51 | $8.71 |
Where Missouri 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.
Missouri· 22nd of 51
$123
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.