How much rates vary
Facilitymedian $10,471 · 10th to 90th $120 to $18,197Professionalmedian $676 · 10th to 90th $468 to $1,202
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 $630.96 Median $11,748.98 Typical High $16,595.87 | Facility | None | $630.96 | $11,748.98 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $10,715.19 | Professional | None (both parts) | $562.34 | $562.34 | $10,715.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 26 · Professional part | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $134.90 | $134.90 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,413.10 Median $16,595.87 Typical High $20,892.96 | Facility | None | $7,413.10 | $16,595.87 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $512.86 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $467.74 Typical High $851.14 | Professional | 26 · Professional part | $389.05 | $467.74 | $851.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $128.82 | $154.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $11,481.54 | Facility | None | $10,471.29 | $10,471.29 | $11,481.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $467.74 | $575.44 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $371.54 Typical High $630.96 | Professional | 26 · Professional part | $346.74 | $371.54 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $117.49 | $162.18 | $213.80 |
Hometown Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $16,218.10 | Professional | None | $8.51 | $8.51 | $16,218.10 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None (both parts) | $8.51 | $8.51 | $8.51 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $15,135.61 | Facility | None | $97.72 | $245.47 | $15,135.61 |
United Setting Professional Modifier None (both parts) Typical Low $645.65 Median $812.83 Typical High $1,412.54 | Professional | None (both parts) | $645.65 | $812.83 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $489.78 Typical High $741.31 | Professional | 26 · Professional part | $363.08 | $489.78 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $251.19 | $338.84 | $616.60 |
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 $275.42 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $63.10 |
Where Nevada 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.
Nevada· 25th 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.