How much rates vary
Facilitymedian $550 · 10th to 90th $245 to $1,230Professionalmedian $151 · 10th to 90th $132 to $324
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 $181.97 Median $239.88 Typical High $3,467.37 | Facility | None | $181.97 | $239.88 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $165.96 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $39.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $1,071.52 Typical High $1,230.27 | Facility | None | $251.19 | $1,071.52 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $120.23 | $125.89 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $35.48 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $89.13 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $190.55 | $213.80 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $56.23 | $61.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $134.90 | $154.88 | $169.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $141.25 | $151.36 | $199.53 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $37.15 | $50.12 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $104.71 | $112.20 | $147.91 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $134.90 | $177.83 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $100.00 | $131.83 | $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 $83.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $16.60 | $23.99 | $23.99 |
Where New Jersey 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.
New Jersey· 41st of 51
$151
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.