How much rates vary
Facilitymedian $4,169 · 10th to 90th $851 to $12,589Professionalmedian $1,288 · 10th to 90th $347 to $8,710
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 $2,454.71 Median $9,549.93 Typical High $13,182.57 | Facility | None | $2,454.71 | $9,549.93 | $13,182.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $338.84 Median $616.60 Typical High $1,148.15 | Facility | 26 · Professional part | $338.84 | $616.60 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $3,090.30 Typical High $11,481.54 | Professional | None (both parts) | $1,288.25 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $933.25 | Professional | 26 · Professional part | $338.84 | $338.84 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $10,715.19 | Facility | None | $630.96 | $1,698.24 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $467.74 | $467.74 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $323.59 Typical High $512.86 | Professional | 26 · Professional part | $275.42 | $323.59 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $1,096.48 Typical High $1,479.11 | Facility | None | $389.05 | $1,096.48 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,548.82 Typical High $3,715.35 | Professional | None (both parts) | $1,230.27 | $1,548.82 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $416.87 Typical High $724.44 | Professional | 26 · Professional part | $323.59 | $416.87 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,621.81 Typical High $3,715.35 | Professional | None (both parts) | $1,288.25 | $1,621.81 | $3,715.35 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $416.87 Typical High $724.44 | Professional | 26 · Professional part | $323.59 | $416.87 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $39.81 | $50.12 | $60.26 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $489.78 | Professional | 26 · Professional part | $323.59 | $338.84 | $489.78 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $8,709.64 | Facility | None | $851.14 | $2,630.27 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $3,162.28 | Professional | None (both parts) | $346.74 | $478.63 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $436.52 Typical High $831.76 | Professional | 26 · Professional part | $331.13 | $436.52 | $831.76 |
10 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 Facility Modifier TC · Technical part Typical Low $954.99 Median $2,630.27 Typical High $3,162.28 | Facility | TC · Technical part | $954.99 | $2,630.27 | $3,162.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $1,479.11 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $588.84 | Professional | 53 · Discontinued | $257.04 | $257.04 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $2,187.76 | Professional | 54 · Surgery only | $954.99 | $954.99 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $436.52 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $295.12 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $2,630.27 | Professional | TC · Technical part | $954.99 | $954.99 | $2,630.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,174.90 Typical High $2,754.23 | Professional | TC · Technical part | $954.99 | $1,174.90 | $2,754.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,202.26 Typical High $2,754.23 | Professional | TC · Technical part | $954.99 | $1,202.26 | $2,754.23 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,819.70 Typical High $2,951.21 | Professional | TC · Technical part | $933.25 | $1,819.70 | $2,951.21 |
Where Ohio sits
The same service costs 14.5 times more in California than in Maine. 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· 25th of 51
$1,950
CA $8,128ME $562
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.