How much rates vary
Facilitymedian $126 · 10th to 90th $79 to $447Professionalmedian $145 · 10th to 90th $120 to $282
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 $141.25 Median $141.25 Typical High $295.12 | Facility | None | $141.25 | $141.25 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $30.90 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $97.72 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $120.23 | $144.54 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $33.88 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $112.20 | $128.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $52.48 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $52.48 | $134.90 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $691.83 | Facility | None | $218.78 | $275.42 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $398.11 | Professional | None (both parts) | $123.03 | $123.03 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $35.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $295.12 | Professional | TC · Technical part | $89.13 | $89.13 | $295.12 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $263.03 Typical High $489.78 | Facility | None | $117.49 | $263.03 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $162.18 | $165.96 | $245.47 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $43.65 | $72.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $120.23 | $177.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | TC · Technical part | $46.77 | $46.77 | $46.77 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $107.15 | $128.82 | $199.53 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $36.31 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $93.33 | $169.82 |
MVP Health Care Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $257.04 | $281.84 | $281.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $45.71 | $57.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $102.33 | $128.82 | $158.49 |
United Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Facility | None | $257.04 | $302.00 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $104.71 | $169.82 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $125.89 | $251.19 |
Univera Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $489.78 | Facility | None | $79.43 | $79.43 | $489.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $173.78 | Facility | TC · Technical part | $46.77 | $46.77 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $107.15 | $128.82 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $36.31 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $93.33 | $173.78 |
5 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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $109.65 | Professional | 53 · Discontinued | $70.79 | $87.10 | $109.65 |
Where New York 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 York· 44th of 51
$145
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.