How much rates vary
Facilitymedian $501 · 10th to 90th $85 to $19,953Professionalmedian $871 · 10th to 90th $398 to $1,549
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 $478.63 Median $7,244.36 Typical High $22,387.21 | Facility | None | $478.63 | $7,244.36 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $1,318.26 | Professional | None (both parts) | $478.63 | $524.81 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $398.11 Typical High $446.68 | Professional | 26 · Professional part | $363.08 | $398.11 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $120.23 | $120.23 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $11,748.98 Typical High $22,908.68 | Facility | None | $6,918.31 | $11,748.98 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $851.14 Typical High $1,258.93 | Professional | None (both parts) | $398.11 | $851.14 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $602.56 Typical High $851.14 | Professional | 26 · Professional part | $398.11 | $602.56 | $851.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $269.15 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,000.00 Typical High $1,819.70 | Professional | None (both parts) | $616.60 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Professional | 26 · Professional part | $457.09 | $741.31 | $1,288.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $229.09 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $17,782.79 | Professional | None | $1,698.24 | $2,290.87 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $537.03 Typical High $17,782.79 | Professional | 26 · Professional part | $489.78 | $537.03 | $17,782.79 |
United Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $2,818.38 | Facility | None | $81.28 | $158.49 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,047.13 Typical High $2,041.74 | Professional | None (both parts) | $676.08 | $1,047.13 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $645.65 Typical High $1,318.26 | Professional | 26 · Professional part | $416.87 | $645.65 | $1,318.26 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $263.03 | $416.87 | $851.14 |
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 $239.88 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $389.05 Typical High $446.68 | Professional | 54 · Surgery only | $363.08 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $89.13 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $52.48 Typical High $60.26 | Professional | 56 · Pre-op care only | $47.86 | $52.48 | $60.26 |
Where Georgia 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.
Georgia· 19th of 51
$851
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.