How much rates vary
Facilitymedian $525 · 10th to 90th $158 to $1,698Professionalmedian $123 · 10th to 90th $95 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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $123.03 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $100.00 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $43.65 | $53.70 | $93.33 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $758.58 Typical High $1,000.00 | Facility | None | $302.00 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $138.04 | Professional | None (both parts) | $102.33 | $134.90 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $66.07 | $81.28 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $36.31 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $1,659.59 | Facility | None | $158.49 | $407.38 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $158.49 Typical High $630.96 | Professional | None (both parts) | $77.62 | $158.49 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $95.50 Typical High $407.38 | Professional | 26 · Professional part | $35.48 | $95.50 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $218.78 | Professional | TC · Technical part | $40.74 | $61.66 | $218.78 |
United Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $1,905.46 | Facility | None | $363.08 | $851.14 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $70.79 | $117.49 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $26.30 | $72.44 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $34.67 | $45.71 | $63.10 |
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 $18.62 Median $22.91 Typical High $39.81 | Professional | 55 · Aftercare only | $18.62 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.49 Typical High $26.30 | Professional | 56 · Pre-op care only | $12.30 | $15.49 | $26.30 |
Where Kansas 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.
Kansas· 21st of 51
$126
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.