How much rates vary
Facilitymedian $5,248 · 10th to 90th $891 to $14,125Professionalmedian $891 · 10th to 90th $537 to $1,738
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 $1,174.90 Median $5,623.41 Typical High $13,489.63 | Facility | None | $1,174.90 | $5,623.41 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $776.25 Typical High $5,623.41 | Professional | None (both parts) | $676.08 | $776.25 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $251.19 Typical High $275.42 | Professional | 26 · Professional part | $239.88 | $251.19 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $446.68 Typical High $524.81 | Professional | TC · Technical part | $426.58 | $446.68 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $12,022.64 Typical High $18,620.87 | Facility | None | $5,128.61 | $12,022.64 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $851.14 Typical High $1,202.26 | Professional | None (both parts) | $537.03 | $851.14 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $363.08 Typical High $478.63 | Professional | 26 · Professional part | $257.04 | $363.08 | $478.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $102.33 | $524.81 | $776.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $630.96 Median $676.08 Typical High $933.25 | Professional | None (both parts) | $630.96 | $676.08 | $933.25 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $234.42 Typical High $316.23 | Professional | 26 · Professional part | $223.87 | $234.42 | $316.23 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $446.68 Typical High $602.56 | Professional | TC · Technical part | $416.87 | $446.68 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $9,120.11 Typical High $16,218.10 | Facility | None | $501.19 | $9,120.11 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $851.14 Typical High $1,380.38 | Professional | None (both parts) | $588.84 | $851.14 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $309.03 Typical High $489.78 | Professional | 26 · Professional part | $218.78 | $309.03 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $537.03 Typical High $933.25 | Professional | TC · Technical part | $371.54 | $537.03 | $933.25 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $3,090.30 Typical High $8,709.64 | Facility | None | $851.14 | $3,090.30 | $8,709.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,659.59 Typical High $5,011.87 | Professional | None (both parts) | $831.76 | $1,659.59 | $5,011.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $549.54 Typical High $1,621.81 | Professional | 26 · Professional part | $302.00 | $549.54 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $1,122.02 Typical High $2,884.03 | Professional | TC · Technical part | $549.54 | $1,122.02 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $3,801.89 Typical High $11,481.54 | Facility | None | $1,096.48 | $3,801.89 | $11,481.54 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,288.25 Typical High $1,737.80 | Professional | None (both parts) | $707.95 | $1,288.25 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $407.38 Typical High $602.56 | Professional | 26 · Professional part | $234.42 | $407.38 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $851.14 Typical High $1,148.15 | Professional | TC · Technical part | $478.63 | $851.14 | $1,148.15 |
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 $338.84 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $338.84 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $158.49 | Professional | 53 · Discontinued | $134.90 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | 54 · Surgery only | $512.86 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $67.61 | $69.18 | $79.43 |
Where Missouri 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.
Missouri· 24th of 51
$1,096
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.