How much rates vary
Facilitymedian $162 · 10th to 90th $95 to $1,660Professionalmedian $115 · 10th to 90th $40 to $229
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 $128.82 Median $1,621.81 Typical High $2,511.89 | Facility | None | $128.82 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $123.03 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $32.36 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $100.00 | $123.03 |
AvMed Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $234.42 | Facility | None | $95.50 | $125.89 | $234.42 |
AvMed Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $79.43 | $100.00 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $295.12 Typical High $407.38 | Facility | None | $218.78 | $295.12 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $275.42 | Professional | None (both parts) | $83.18 | $100.00 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $29.51 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $204.17 | Professional | TC · Technical part | $56.23 | $69.18 | $204.17 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $275.42 | Professional | None (both parts) | $91.20 | $109.65 | $275.42 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $30.20 | $42.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $309.03 | Professional | TC · Technical part | $66.07 | $79.43 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $37.15 | $117.49 | $251.19 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $162.18 | Facility | None | $147.91 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $60.26 Typical High $234.42 | Professional | None (both parts) | $34.67 | $60.26 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $34.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $70.79 | $123.03 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None (both parts) | $104.71 | $104.71 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $28.84 | $28.84 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $75.86 | $75.86 | $95.50 |
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 $61.66 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $25.70 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.05 Typical High $24.55 | Professional | 55 · Aftercare only | $18.62 | $19.05 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.88 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.30 | $12.88 | $16.22 |
Where Florida 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.
Florida· 49th of 51
$115
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.