How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $51.29 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $66.07 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $38.02 | Professional | TC · Technical part | $32.36 | $35.48 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $263.03 | Professional | None (both parts) | $100.00 | $100.00 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $173.78 | Professional | 26 · Professional part | $64.57 | $64.57 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $91.20 | Professional | TC · Technical part | $34.67 | $34.67 | $91.20 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $58.88 | $79.43 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.30 Typical High $66.07 | Professional | 26 · Professional part | $16.98 | $26.30 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $24.55 | $52.48 | $107.15 |
2 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 55 · Aftercare only Typical Low $7.59 Median $15.14 Typical High $16.22 | Professional | 55 · Aftercare only | $7.59 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $10.23 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.13 | $10.23 | $10.72 |
Where Delaware sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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.
Delaware· 32nd of 51
$100
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.