How much rates vary
Facilitymedian $1,585 · 10th to 90th $550 to $7,079Professionalmedian $851 · 10th to 90th $417 to $1,778
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 $660.69 Median $5,370.32 Typical High $13,803.84 | Facility | None | $660.69 | $5,370.32 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $676.08 Typical High $3,548.13 | Professional | None (both parts) | $645.65 | $676.08 | $3,548.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $229.09 Typical High $537.03 | Professional | 26 · Professional part | $204.17 | $229.09 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $446.68 Typical High $1,174.90 | Professional | TC · Technical part | $416.87 | $446.68 | $1,174.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $426.58 Typical High $524.81 | Professional | 26 · Professional part | $407.38 | $426.58 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $851.14 Typical High $1,513.56 | Professional | None (both parts) | $380.19 | $851.14 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $346.74 Typical High $549.54 | Professional | 26 · Professional part | $213.80 | $346.74 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $707.95 Typical High $1,071.52 | Professional | TC · Technical part | $380.19 | $707.95 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $1,995.26 | Facility | None | $398.11 | $549.54 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,174.90 Typical High $2,238.72 | Professional | None (both parts) | $724.44 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $426.58 Typical High $758.58 | Professional | 26 · Professional part | $257.04 | $426.58 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $794.33 Typical High $1,445.44 | Professional | TC · Technical part | $537.03 | $794.33 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $4,265.80 | Professional | None | $776.25 | $831.76 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $288.40 Typical High $4,265.80 | Professional | 26 · Professional part | $269.15 | $288.40 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $562.34 Typical High $4,265.80 | Professional | TC · Technical part | $501.19 | $562.34 | $4,265.80 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,023.29 Typical High $2,290.87 | Professional | None (both parts) | $426.58 | $1,023.29 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $363.08 Typical High $812.83 | Professional | 26 · Professional part | $234.42 | $363.08 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $691.83 Typical High $1,479.11 | Professional | TC · Technical part | $109.65 | $691.83 | $1,479.11 |
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 $323.59 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $66.07 Typical High $72.44 | Professional | 56 · Pre-op care only | $64.57 | $66.07 | $72.44 |
Where Georgia sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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.
Georgia· 31st of 51
$955
WI $2,630TX $603
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.