How much rates vary
Facilitymedian $209 · 10th to 90th $50 to $2,138Professionalmedian $95 · 10th to 90th $58 to $148
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 $91.20 | Facility | None | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $89.13 | $91.20 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $52.48 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $41.69 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $117.49 | Professional | None (both parts) | $60.26 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $51.29 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $45.71 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $48.98 | $89.13 | $128.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $44.67 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $43.65 | $43.65 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $147.91 Typical High $1,621.81 | Facility | None | $54.95 | $147.91 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $83.18 | $100.00 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $52.48 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $40.74 | $46.77 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $147.91 | Professional | None | $100.00 | $120.23 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | None | $120.23 | $147.91 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $147.91 | Facility | None | $91.20 | $131.83 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $93.33 Typical High $1,174.90 | Facility | None | $39.81 | $93.33 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $46.77 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $46.77 | $100.00 | $204.17 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $61.66 | $104.71 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $52.48 | $87.10 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,041.74 | Facility | None | $100.00 | $660.69 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $69.18 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $54.95 Typical High $75.86 | Professional | TC · Technical part | $30.90 | $54.95 | $75.86 |
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 $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $12.59 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.51 | $9.12 | $9.12 |
Where Virginia 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.
Virginia· 41st of 51
$97.72
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.