How much rates vary
Facilitymedian $363 · 10th to 90th $209 to $468Professionalmedian $269 · 10th to 90th $81 to $490
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $91.20 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $251.19 | $316.23 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $87.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $194.98 | $229.09 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $416.87 Typical High $489.78 | Professional | None | $112.20 | $416.87 | $489.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $57.54 | $93.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $363.08 Typical High $549.54 | Professional | TC · Technical part | $77.62 | $363.08 | $549.54 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $467.74 | Facility | None | $275.42 | $398.11 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $1,778.28 | Professional | None (both parts) | $190.55 | $371.54 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $95.50 Typical High $1,202.26 | Professional | 26 · Professional part | $40.74 | $95.50 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $269.15 Typical High $1,548.82 | Professional | TC · Technical part | $109.65 | $269.15 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $316.23 | Professional | None | $269.15 | $309.03 | $316.23 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $74.13 | $79.43 | $93.33 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $218.78 | $229.09 |
Midlands Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $316.23 | $323.59 | $354.81 |
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 Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $144.54 | $257.04 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $38.02 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $194.98 | $338.84 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $269.15 | $269.15 | $316.23 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $74.13 | $74.13 | $87.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $194.98 | $229.09 |
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 $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $18.62 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.59 | $15.49 | $15.49 |
Where Iowa 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.
Iowa· 9th 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.