How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $617Professionalmedian $550 · 10th to 90th $417 to $1,413
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 Professional Modifier None (both parts) Typical Low $489.78 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $489.78 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 26 · Professional part | $363.08 | $363.08 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $131.83 Typical High $138.04 | Professional | TC · Technical part | $123.03 | $131.83 | $138.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $467.74 | Professional | 26 · Professional part | $380.19 | $380.19 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $588.84 Typical High $1,513.56 | Professional | None (both parts) | $489.78 | $588.84 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $446.68 Typical High $1,174.90 | Professional | 26 · Professional part | $363.08 | $446.68 | $1,174.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $151.36 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $1,122.02 | Professional | None | $562.34 | $645.65 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $478.63 Typical High $794.33 | Professional | 26 · Professional part | $416.87 | $478.63 | $794.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $165.96 | $302.00 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $851.14 Typical High $12,589.25 | Professional | None (both parts) | $562.34 | $851.14 | $12,589.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $489.78 Typical High $891.25 | Professional | 26 · Professional part | $331.13 | $489.78 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $363.08 Typical High $12,022.64 | Professional | TC · Technical part | $208.93 | $363.08 | $12,022.64 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $251.19 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $97.72 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $363.08 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $72.44 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $48.98 | $50.12 | $54.95 |
Where Maryland 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.
Maryland· 51st of 51
$501
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.