How much rates vary
Facilitymedian $339 · 10th to 90th $98 to $562Professionalmedian $174 · 10th to 90th $52 to $288
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $97.72 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $144.54 | $213.80 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $44.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $165.96 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $33.11 | $120.23 | $169.82 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $147.91 | $213.80 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $44.67 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $165.96 | $234.42 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $151.36 | $213.80 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $52.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $107.15 | $165.96 | $288.40 |
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 $48.98 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $14.45 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.77 | $16.22 | $16.22 |
Where New Mexico 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 Mexico· 28th of 51
$174
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.