How much rates vary
Facilitymedian $759 · 10th to 90th $178 to $1,862Professionalmedian $115 · 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 $107.15 Median $107.15 Typical High $125.89 | Facility | None | $107.15 | $107.15 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $107.15 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $69.18 | $79.43 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $44.67 | Professional | TC · Technical part | $38.02 | $43.65 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $100.00 | $112.20 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $69.18 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $38.02 | $43.65 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $891.25 | Facility | None | $181.97 | $181.97 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $95.50 | $102.33 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $66.07 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $36.31 | $72.44 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $575.44 Typical High $1,288.25 | Facility | None | $117.49 | $575.44 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $89.13 | $275.42 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $173.78 Typical High $407.38 | Professional | 26 · Professional part | $53.70 | $173.78 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $36.31 | $109.65 | $218.78 |
United Setting Facility Modifier None Typical Low $245.47 Median $870.96 Typical High $3,548.13 | Facility | None | $245.47 | $870.96 | $3,548.13 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $83.18 | $114.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $69.18 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $33.88 | $45.71 | $91.20 |
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 $16.22 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $12.59 |
Where Missouri 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.
Missouri· 24th of 51
$115
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.