How much rates vary
Facilitymedian $741 · 10th to 90th $151 to $1,995Professionalmedian $155 · 10th to 90th $105 to $631
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $158.49 | $162.18 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $100.00 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $63.10 | $97.72 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $177.83 | Professional | None | $93.33 | $128.82 | $177.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $77.62 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $47.86 | $63.10 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $467.74 Typical High $1,905.46 | Facility | None | $151.36 | $467.74 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $107.15 | $208.93 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $138.04 Typical High $407.38 | Professional | 26 · Professional part | $61.66 | $138.04 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $89.13 Typical High $218.78 | Professional | TC · Technical part | $41.69 | $89.13 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $263.03 | Professional | None | $190.55 | $257.04 | $263.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $199.53 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $2,344.23 | Facility | None | $478.63 | $977.24 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $91.20 | $151.36 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $40.74 | $58.88 | $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 $17.38 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $17.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.75 | $15.14 | $15.14 |
Where Iowa 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.
Iowa· 11th 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.