How much rates vary
Facilitymedian $1,698 · 10th to 90th $102 to $2,818Professionalmedian $158 · 10th to 90th $93 to $219
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 $93.33 Median $93.33 Typical High $102.33 | Facility | None | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | None (both parts) | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | TC · Technical part | $32.36 | $32.36 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $107.15 | $190.55 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $123.03 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $40.74 | $64.57 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $309.03 | Professional | None (both parts) | $109.65 | $134.90 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $87.10 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $38.90 | $46.77 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $389.05 | Professional | None | $114.82 | $177.83 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $117.49 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $134.90 | Professional | TC · Technical part | $40.74 | $63.10 | $134.90 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,818.38 | Facility | None | $691.83 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $263.03 | Professional | None (both parts) | $75.86 | $112.20 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $162.18 | Professional | 26 · Professional part | $46.77 | $64.57 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $48.98 Typical High $102.33 | Professional | TC · Technical part | $30.90 | $48.98 | $102.33 |
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 $13.80 Median $13.80 Typical High $15.49 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $10.23 |
Where Georgia 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.
Georgia· 10th of 51
$158
MN $275AL $63.10
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.