How much rates vary
Facilitymedian $759 · 10th to 90th $347 to $23,442Professionalmedian $1,023 · 10th to 90th $708 to $1,905
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 $676.08 Median $758.58 Typical High $758.58 | Facility | None | $676.08 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $758.58 Typical High $1,737.80 | Professional | None (both parts) | $741.31 | $758.58 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $398.11 Typical High $1,174.90 | Professional | 26 · Professional part | $389.05 | $398.11 | $1,174.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $309.03 | $363.08 | $691.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $851.14 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $851.14 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $23,988.33 | Facility | None | $346.74 | $691.83 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,023.29 Typical High $1,698.24 | Professional | None (both parts) | $676.08 | $1,023.29 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $562.34 Typical High $1,122.02 | Professional | 26 · Professional part | $436.52 | $562.34 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $162.18 Typical High $295.12 | Professional | 80 · Assistant surgeon | $123.03 | $162.18 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $457.09 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $891.25 Typical High $1,380.38 | Facility | None | $331.13 | $891.25 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,412.54 Typical High $2,754.23 | Professional | None (both parts) | $851.14 | $1,412.54 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $870.96 Typical High $1,412.54 | Professional | 26 · Professional part | $524.81 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $1,412.54 | Professional | TC · Technical part | $338.84 | $436.52 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,659.59 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $812.83 Typical High $1,479.11 | Professional | 26 · Professional part | $512.86 | $812.83 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $851.14 Typical High $2,187.76 | Professional | TC · Technical part | $524.81 | $851.14 | $2,187.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $741.31 Typical High $1,380.38 | Professional | None (both parts) | $645.65 | $741.31 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,148.15 Typical High $2,454.71 | Professional | None (both parts) | $776.25 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $660.69 Typical High $1,230.27 | Professional | 26 · Professional part | $478.63 | $660.69 | $1,230.27 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $489.78 Typical High $1,258.93 | Professional | TC · Technical part | $218.78 | $489.78 | $1,258.93 |
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 $371.54 Median $380.19 Typical High $537.03 | Professional | 52 · Reduced service | $371.54 | $380.19 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $151.36 Typical High $218.78 | Professional | 53 · Discontinued | $147.91 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $758.58 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | FX · Film X-ray | $602.56 | $602.56 | $691.83 |
Where Georgia sits
The same service costs 5.6 times more in Alaska than in Florida. 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.
Georgia· 34th of 51
$1,023
AK $3,715FL $661
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.