How much rates vary
Facilitymedian $2,570 · 10th to 90th $309 to $12,589Professionalmedian $741 · 10th to 90th $479 to $1,380
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 $812.83 Median $5,623.41 Typical High $19,054.61 | Facility | None | $812.83 | $5,623.41 | $19,054.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $776.25 Typical High $5,248.07 | Professional | None (both parts) | $645.65 | $776.25 | $5,248.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $416.87 | Professional | 26 · Professional part | $208.93 | $251.19 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $870.96 | Professional | TC · Technical part | $436.52 | $524.81 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $602.56 | $707.95 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $316.23 | Professional | 26 · Professional part | $208.93 | $245.47 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $467.74 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $467.74 | $588.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $354.81 Median $676.08 Typical High $891.25 | Professional | None (both parts) | $354.81 | $676.08 | $891.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $295.12 | Professional | 26 · Professional part | $218.78 | $245.47 | $295.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $446.68 | $501.19 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $6,025.60 | Facility | None | $501.19 | $1,584.89 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $741.31 Typical High $1,380.38 | Professional | None (both parts) | $426.58 | $741.31 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $295.12 Typical High $467.74 | Professional | 26 · Professional part | $213.80 | $295.12 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $489.78 Typical High $977.24 | Professional | TC · Technical part | $107.15 | $489.78 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $933.25 | Professional | None | $630.96 | $758.58 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $1,023.29 Typical High $1,023.29 | Professional | None | $446.68 | $1,023.29 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,288.25 | Facility | None | $776.25 | $1,047.13 | $1,288.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Sentara Setting Facility Modifier None Typical Low $234.42 Median $794.33 Typical High $6,456.54 | Facility | None | $234.42 | $794.33 | $6,456.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $263.03 Median $794.33 Typical High $4,570.88 | Professional | None (both parts) | $263.03 | $794.33 | $4,570.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $302.00 Typical High $549.54 | Professional | 26 · Professional part | $234.42 | $302.00 | $549.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $630.96 Typical High $1,174.90 | Professional | TC · Technical part | $97.72 | $630.96 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $954.99 Typical High $1,445.44 | Professional | None (both parts) | $436.52 | $954.99 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $323.59 Typical High $467.74 | Professional | 26 · Professional part | $194.98 | $323.59 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $660.69 Typical High $977.24 | Professional | TC · Technical part | $120.23 | $660.69 | $977.24 |
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 $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $489.78 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $97.72 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $64.57 | $77.62 | $77.62 |
Where Virginia 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.
Virginia· 42nd of 51
$776
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.