How much rates vary
Facilitymedian $126 · 10th to 90th $126 to $135Professionalmedian $178 · 10th to 90th $105 to $398
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 $125.89 Median $125.89 Typical High $134.90 | Facility | None | $125.89 | $125.89 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $125.89 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $91.20 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $104.71 | $190.55 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $47.86 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $323.59 | Professional | TC · Technical part | $85.11 | $134.90 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $162.18 | $208.93 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $47.86 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $151.36 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $478.63 | Professional | None | $138.04 | $177.83 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $48.98 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $478.63 | Professional | TC · Technical part | $100.00 | $128.82 | $478.63 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $41.69 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $123.03 | $199.53 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $50.12 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $89.13 | $154.88 | $316.23 |
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 $63.10 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $13.49 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $13.49 |
Where Georgia 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.
Georgia· 27th of 51
$178
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.