How much rates vary
Facilitymedian $6,918 · 10th to 90th $110 to $37,154Professionalmedian $513 · 10th to 90th $339 to $5,623
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 $645.65 Median $6,456.54 Typical High $12,302.69 | Facility | None | $645.65 | $6,456.54 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $436.52 | $478.63 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $363.08 Typical High $446.68 | Professional | 26 · Professional part | $331.13 | $363.08 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $114.82 | $151.36 |
AvMed Setting Facility Modifier None Typical Low $389.05 Median $25,118.86 Typical High $45,708.82 | Facility | None | $389.05 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $7,079.46 | Professional | None (both parts) | $251.19 | $446.68 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $17,378.01 Median $23,988.33 Typical High $47,863.01 | Facility | None | $17,378.01 | $23,988.33 | $47,863.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $398.11 | $575.44 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $436.52 Typical High $812.83 | Professional | 26 · Professional part | $288.40 | $436.52 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $141.25 | $257.04 |
Florida Blue Setting Facility Modifier None Typical Low $309.03 Median $21,379.62 Typical High $38,018.94 | Facility | None | $309.03 | $21,379.62 | $38,018.94 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $741.31 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $741.31 | $7,585.78 | $7,585.78 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $309.03 Typical High $478.63 | Professional | 26 · Professional part | $295.12 | $309.03 | $478.63 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $7,244.36 Typical High $7,244.36 | Professional | TC · Technical part | $263.03 | $7,244.36 | $7,244.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $309.03 | $467.74 | $660.69 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $12,882.50 | Facility | None | $81.28 | $302.00 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $776.25 Typical High $2,398.83 | Professional | None (both parts) | $54.95 | $776.25 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $512.86 Typical High $1,047.13 | Professional | 26 · Professional part | $331.13 | $512.86 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $5,754.40 | Professional | TC · Technical part | $199.53 | $331.13 | $5,754.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $436.52 | $436.52 | $691.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | 26 · Professional part | $281.84 | $281.84 | $416.87 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $162.18 | $162.18 | $213.80 |
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 $218.78 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $218.78 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $354.81 Typical High $446.68 | Professional | 54 · Surgery only | $323.59 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $72.44 Typical High $89.13 | Professional | 55 · Aftercare only | $64.57 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $47.86 Typical High $58.88 | Professional | 56 · Pre-op care only | $43.65 | $47.86 | $58.88 |
Where Florida 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.
Florida· 46th of 51
$631
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.