How much rates vary
Facilitymedian $2,630 · 10th to 90th $251 to $19,055Professionalmedian $708 · 10th to 90th $468 to $10,715
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 $977.24 Median $6,606.93 Typical High $44,668.36 | Facility | None | $977.24 | $6,606.93 | $44,668.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $467.74 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | 26 · Professional part | $354.81 | $354.81 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $117.49 | $117.49 | $134.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $2,041.74 Median $4,897.79 Typical High $12,882.50 | Facility | None | $2,041.74 | $4,897.79 | $12,882.50 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $812.83 | Professional | 26 · Professional part | $407.38 | $407.38 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $18,197.01 Median $21,877.62 Typical High $24,547.09 | Facility | None | $18,197.01 | $21,877.62 | $24,547.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $512.86 | $537.03 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $407.38 Typical High $645.65 | Professional | 26 · Professional part | $380.19 | $407.38 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $131.83 | $131.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $524.81 Typical High $10,715.19 | Facility | None | $199.53 | $524.81 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $645.65 Median $933.25 Typical High $10,715.19 | Professional | None (both parts) | $645.65 | $933.25 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $537.03 Typical High $3,090.30 | Professional | 26 · Professional part | $380.19 | $537.03 | $3,090.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $380.19 Typical High $10,000.00 | Professional | TC · Technical part | $257.04 | $380.19 | $10,000.00 |
United Setting Facility Modifier None Typical Low $177.83 Median $562.34 Typical High $19,054.61 | Facility | None | $177.83 | $562.34 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $741.31 Typical High $1,318.26 | Professional | None (both parts) | $616.60 | $741.31 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $416.87 Typical High $676.08 | Professional | 26 · Professional part | $363.08 | $416.87 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $537.03 | Professional | TC · Technical part | $245.47 | $309.03 | $537.03 |
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 $234.42 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | 53 · Discontinued | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | 54 · Surgery only | $354.81 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $54.95 |
Where Arizona sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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.
Arizona· 27th of 51
$776
NE $2,818MD $501
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.