How much rates vary
Facilitymedian $741 · 10th to 90th $129 to $15,136Professionalmedian $2,188 · 10th to 90th $646 to $5,370
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 $1,698.24 Median $5,623.41 Typical High $9,332.54 | Facility | None | $1,698.24 | $5,623.41 | $9,332.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $2,511.89 | Professional | None (both parts) | $549.54 | $575.44 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $436.52 Typical High $478.63 | Professional | 26 · Professional part | $416.87 | $436.52 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $158.49 | Professional | TC · Technical part | $134.90 | $138.04 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $8,709.64 Typical High $12,882.50 | Facility | None | $1,479.11 | $8,709.64 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $2,187.76 Typical High $3,548.13 | Professional | None (both parts) | $1,122.02 | $2,187.76 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $645.65 Typical High $794.33 | Professional | 26 · Professional part | $436.52 | $645.65 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,778.28 Typical High $2,754.23 | Professional | TC · Technical part | $1,412.54 | $1,778.28 | $2,754.23 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $436.52 Typical High $588.84 | Professional | 26 · Professional part | $407.38 | $436.52 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $21,877.62 Median $28,183.83 Typical High $35,481.34 | Facility | None | $21,877.62 | $28,183.83 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $1,148.15 | Professional | None (both parts) | $489.78 | $707.95 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $537.03 Typical High $870.96 | Professional | 26 · Professional part | $380.19 | $537.03 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $165.96 | $281.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $660.69 Typical High $10,715.19 | Facility | None | $125.89 | $660.69 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $4,168.69 Typical High $10,715.19 | Professional | None (both parts) | $1,000.00 | $4,168.69 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $977.24 Typical High $3,090.30 | Professional | 26 · Professional part | $524.81 | $977.24 | $3,090.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $3,311.31 Typical High $10,000.00 | Professional | TC · Technical part | $389.05 | $3,311.31 | $10,000.00 |
United Setting Facility Modifier None Typical Low $123.03 Median $616.60 Typical High $15,848.93 | Facility | None | $123.03 | $616.60 | $15,848.93 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $3,235.94 Typical High $5,495.41 | Professional | None (both parts) | $758.58 | $3,235.94 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $724.44 Typical High $1,047.13 | Professional | 26 · Professional part | $416.87 | $724.44 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $2,570.40 Typical High $4,365.16 | Professional | TC · Technical part | $309.03 | $2,570.40 | $4,365.16 |
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 $275.42 Median $288.40 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $109.65 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $426.58 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $85.11 Typical High $95.50 | Professional | 55 · Aftercare only | $83.18 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $57.54 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $57.54 | $64.57 |
Where Missouri 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.
Missouri· 2nd of 51
$2,188
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.