How much rates vary
Facilitymedian $708 · 10th to 90th $87 to $3,162Professionalmedian $107 · 10th to 90th $85 to $245
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 $89.13 Median $89.13 Typical High $107.15 | Facility | None | $89.13 | $89.13 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $48.98 | Facility | 26 · Professional part | $46.77 | $46.77 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $58.88 | Facility | TC · Technical part | $41.69 | $41.69 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $87.10 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $48.98 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $41.69 | $58.88 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $114.82 Typical High $1,659.59 | Facility | None | $64.57 | $114.82 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $95.50 | $138.04 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $165.96 | Professional | 26 · Professional part | $46.77 | $72.44 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $158.49 | Professional | TC · Technical part | $43.65 | $66.07 | $158.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $117.49 | $169.82 | $169.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $69.18 Median $125.89 Typical High $1,148.15 | Facility | None | $69.18 | $125.89 | $1,148.15 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $281.84 | Professional | None (both parts) | $85.11 | $93.33 | $281.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $151.36 | Professional | 26 · Professional part | $47.86 | $51.29 | $151.36 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $138.04 | Professional | TC · Technical part | $38.02 | $41.69 | $138.04 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,380.38 Typical High $3,801.89 | Facility | None | $316.23 | $1,380.38 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $389.05 | Professional | None (both parts) | $79.43 | $117.49 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $223.87 | Professional | 26 · Professional part | $42.66 | $56.23 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $186.21 | Professional | TC · Technical part | $35.48 | $60.26 | $186.21 |
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 $53.70 | Professional | 52 · Reduced service | $42.66 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $16.98 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $8.51 | $10.72 | $10.72 |
Where New Jersey 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.
New Jersey· 25th of 51
$120
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.