How much rates vary
Facilitymedian $2,692 · 10th to 90th $741 to $18,621Professionalmedian $1,148 · 10th to 90th $813 to $3,236
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 $501.19 Median $741.31 Typical High $891.25 | Facility | None | $501.19 | $741.31 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $891.25 Typical High $1,621.81 | Professional | None (both parts) | $741.31 | $891.25 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $457.09 Typical High $831.76 | Professional | 26 · Professional part | $380.19 | $457.09 | $831.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $371.54 | $436.52 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $21,877.62 | Facility | None | $8,709.64 | $17,378.01 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $1,621.81 | Professional | None (both parts) | $794.33 | $1,174.90 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $776.25 Typical High $1,000.00 | Professional | 26 · Professional part | $446.68 | $776.25 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $190.55 Typical High $263.03 | Professional | 80 · Assistant surgeon | $125.89 | $190.55 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $288.40 | $363.08 | $758.58 |
BCBS Kansas City Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $549.54 | Facility | None | $218.78 | $309.03 | $549.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,023.29 Typical High $1,513.56 | Professional | None (both parts) | $954.99 | $1,023.29 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,698.24 Typical High $3,090.30 | Facility | None | $676.08 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,023.29 Typical High $1,737.80 | Professional | None (both parts) | $831.76 | $1,023.29 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $630.96 Typical High $1,047.13 | Professional | 26 · Professional part | $436.52 | $630.96 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $446.68 Typical High $870.96 | Professional | TC · Technical part | $354.81 | $446.68 | $870.96 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $2,089.30 Typical High $8,709.64 | Facility | None | $977.24 | $2,089.30 | $8,709.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $851.14 Median $2,041.74 Typical High $6,309.57 | Professional | None (both parts) | $851.14 | $2,041.74 | $6,309.57 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $1,047.13 Typical High $5,011.87 | Professional | 26 · Professional part | $501.19 | $1,047.13 | $5,011.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,023.29 Typical High $4,073.80 | Professional | TC · Technical part | $302.00 | $1,023.29 | $4,073.80 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,187.76 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,023.29 Typical High $1,862.09 | Professional | None (both parts) | $851.14 | $1,023.29 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $575.44 Typical High $1,096.48 | Professional | 26 · Professional part | $478.63 | $575.44 | $1,096.48 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $467.74 | $912.01 |
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 $446.68 Typical High $478.63 | Professional | 52 · Reduced service | $371.54 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $177.83 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $630.96 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $524.81 | $630.96 | $676.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $602.56 Median $707.95 Typical High $776.25 | Professional | FX · Film X-ray | $602.56 | $707.95 | $776.25 |
Where Missouri 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.
Missouri· 17th of 51
$1,175
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.