How much rates vary
Facilitymedian $263 · 10th to 90th $129 to $1,445Professionalmedian $162 · 10th to 90th $79 to $407
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 $128.82 Median $128.82 Typical High $1,445.44 | Facility | None | $128.82 | $128.82 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $1,445.44 | Professional | None (both parts) | $128.82 | $128.82 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $426.58 | Professional | 26 · Professional part | $38.90 | $38.90 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | TC · Technical part | $89.13 | $89.13 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $213.80 | $269.15 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $37.15 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $229.09 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $120.23 | $173.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $47.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $125.89 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $114.82 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $114.82 | $173.78 | $354.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $47.86 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $125.89 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $43.65 | $120.23 | $190.55 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $107.15 | $131.83 | $154.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $38.02 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $75.86 | $95.50 | $109.65 |
United Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $436.52 | Facility | None | $263.03 | $309.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $117.49 | $190.55 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $44.67 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $141.25 | $257.04 |
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 $64.57 Median $64.57 Typical High $724.44 | Professional | 52 · Reduced service | $64.57 | $64.57 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $288.40 | Professional | 53 · Discontinued | $25.70 | $25.70 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $213.80 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $144.54 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $144.54 |
Where Ohio 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.
Ohio· 36th of 51
$162
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.