How much rates vary
Facilitymedian $166 · 10th to 90th $43 to $603Professionalmedian $148 · 10th to 90th $110 to $234
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 $123.03 Median $123.03 Typical High $165.96 | Facility | None | $123.03 | $123.03 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $123.03 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $114.82 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $117.49 | $141.25 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $83.18 | $100.00 | $128.82 |
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 $128.82 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $151.36 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $660.69 | Facility | None | $181.97 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $331.13 | Professional | None (both parts) | $125.89 | $151.36 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $39.81 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $109.65 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $257.04 | Professional | None | $134.90 | $158.49 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $40.74 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $114.82 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $478.63 | Professional | None | $331.13 | $407.38 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $302.00 | Facility | None | $269.15 | $302.00 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $281.84 | $645.65 | $645.65 |
Sentara Setting Facility Modifier None Typical Low $41.69 Median $154.88 Typical High $467.74 | Facility | None | $41.69 | $154.88 | $467.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $40.74 Median $144.54 Typical High $354.81 | Professional | None (both parts) | $40.74 | $144.54 | $354.81 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $43.65 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $131.83 | $245.47 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $602.56 | Facility | None | $245.47 | $269.15 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $114.82 | $186.21 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $83.18 | $141.25 | $331.13 |
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 $60.26 Median $81.28 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $23.99 Typical High $25.12 | Professional | 55 · Aftercare only | $18.20 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $16.22 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.30 | $16.22 | $16.60 |
Where Virginia 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.
Virginia· 42nd of 51
$148
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.