How much rates vary
Professionalmedian $132 · 10th to 90th $110 to $204
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 Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | TC · Technical part | $81.28 | $81.28 | $87.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $109.65 | $151.36 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | 26 · Professional part | $41.69 | $46.77 | $52.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $134.90 | $154.88 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $123.03 | $144.54 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $38.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $104.71 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $245.47 | Professional | None | $131.83 | $158.49 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $40.74 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $114.82 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $123.03 | $177.83 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $37.15 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $138.04 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $131.83 | $131.83 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $37.15 | $37.15 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $95.50 | $123.03 |
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 $56.23 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $12.30 |
Where Maryland 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.
Maryland· 46th of 51
$132
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.