How much rates vary
Facilitymedian $741 · 10th to 90th $155 to $20,893Professionalmedian $646 · 10th to 90th $417 to $1,349
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 $602.56 Median $5,754.40 Typical High $37,153.52 | Facility | None | $602.56 | $5,754.40 | $37,153.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $4,365.16 | Professional | None (both parts) | $501.19 | $602.56 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $446.68 Typical High $446.68 | Professional | 26 · Professional part | $363.08 | $446.68 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $131.83 | $147.91 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,620.87 Median $23,988.33 Typical High $25,703.96 | Facility | None | $18,620.87 | $23,988.33 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $1,122.02 | Professional | None (both parts) | $398.11 | $398.11 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $426.58 Typical High $537.03 | Professional | 26 · Professional part | $354.81 | $426.58 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $645.65 Typical High $812.83 | Professional | TC · Technical part | $562.34 | $645.65 | $812.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $416.87 | $416.87 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $1,230.27 | Professional | None (both parts) | $489.78 | $707.95 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $524.81 Typical High $794.33 | Professional | 26 · Professional part | $363.08 | $524.81 | $794.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $186.21 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $758.58 | Professional | None | $512.86 | $616.60 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $912.01 | Facility | None | $602.56 | $776.25 | $912.01 |
Medcost Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Sentara Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $1,995.26 | Facility | None | $169.82 | $524.81 | $1,995.26 |
Sentara Setting Professional Modifier None (both parts) Typical Low $173.78 Median $645.65 Typical High $1,380.38 | Professional | None (both parts) | $173.78 | $645.65 | $1,380.38 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $524.81 Typical High $933.25 | Professional | 26 · Professional part | $407.38 | $524.81 | $933.25 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $177.83 | $323.59 |
United Setting Facility Modifier None Typical Low $100.00 Median $741.31 Typical High $25,703.96 | Facility | None | $100.00 | $741.31 | $25,703.96 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $933.25 Typical High $1,412.54 | Professional | None (both parts) | $562.34 | $933.25 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $575.44 Typical High $831.76 | Professional | 26 · Professional part | $346.74 | $575.44 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $398.11 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $398.11 | $588.84 |
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 $251.19 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $251.19 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $100.00 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $371.54 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $50.12 | $60.26 | $60.26 |
Where Virginia 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.
Virginia· 40th of 51
$692
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.