How much rates vary
Facilitymedian $288 · 10th to 90th $269 to $407Professionalmedian $269 · 10th to 90th $200 to $501
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $162.18 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $93.33 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $138.04 | $213.80 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $380.19 | Facility | None | $269.15 | $269.15 | $380.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $218.78 | $269.15 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $72.44 | $93.33 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $173.78 | $234.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $407.38 | Facility | None | $288.40 | $288.40 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $138.04 | $199.53 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $181.97 | $338.84 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $104.71 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $234.42 | $501.19 |
8 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 $79.43 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $79.43 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $32.36 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $23.99 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $16.22 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where Alaska sits
The same service costs 3.2 times more in Kansas than in Utah. 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.
Alaska· 10th of 51
$269
KS $324UT $100
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.