How much rates vary
Facilitymedian $2,239 · 10th to 90th $631 to $10,965Professionalmedian $646 · 10th to 90th $234 to $1,349
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 $1,819.70 Median $3,890.45 Typical High $12,589.25 | Facility | None | $1,819.70 | $3,890.45 | $12,589.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $239.88 Median $660.69 Typical High $794.33 | Facility | 26 · Professional part | $239.88 | $660.69 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $1,230.27 Typical High $1,479.11 | Facility | TC · Technical part | $416.87 | $1,230.27 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,819.70 Typical High $10,232.93 | Professional | None (both parts) | $660.69 | $1,819.70 | $10,232.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $794.33 | Professional | 26 · Professional part | $239.88 | $239.88 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $1,412.54 | Professional | TC · Technical part | $416.87 | $416.87 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $7,585.78 | Facility | None | $630.96 | $1,548.82 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $758.58 Typical High $1,819.70 | Professional | None (both parts) | $537.03 | $758.58 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $208.93 | $245.47 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $363.08 | $489.78 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $457.09 Typical High $724.44 | Facility | None | $275.42 | $457.09 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $501.19 | Facility | None | $100.00 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $616.60 | $870.96 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $457.09 | Professional | 26 · Professional part | $223.87 | $295.12 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $588.84 Typical High $912.01 | Professional | TC · Technical part | $389.05 | $588.84 | $912.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $1,000.00 | Facility | None | $100.00 | $446.68 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $616.60 | $870.96 | $1,348.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $489.78 | Professional | 26 · Professional part | $223.87 | $295.12 | $489.78 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $588.84 Typical High $1,023.29 | Professional | TC · Technical part | $416.87 | $588.84 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $208.93 | $467.74 | $776.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $630.96 Median $691.83 Typical High $1,202.26 | Professional | None (both parts) | $630.96 | $691.83 | $1,202.26 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $7,413.10 | Facility | None | $707.95 | $1,905.46 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $851.14 Typical High $1,621.81 | Professional | None (both parts) | $630.96 | $851.14 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $295.12 Typical High $588.84 | Professional | 26 · Professional part | $229.09 | $295.12 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $562.34 Typical High $1,023.29 | Professional | TC · Technical part | $416.87 | $562.34 | $1,023.29 |
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 $331.13 Median $331.13 Typical High $1,202.26 | Professional | 52 · Reduced service | $331.13 | $331.13 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $478.63 | Professional | 53 · Discontinued | $131.83 | $131.83 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $1,819.70 | Professional | 54 · Surgery only | $489.78 | $489.78 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $363.08 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $239.88 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $239.88 |
Where Ohio 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.
Ohio· 44th of 51
$692
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.