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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $79.43 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $28.18 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $102.33 | $144.54 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $95.50 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $51.29 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $20.89 | $48.98 | $69.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $102.33 | $144.54 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $95.50 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $51.29 | $54.95 |
United Setting Facility Modifier None Typical Low $229.09 Median $1,096.48 Typical High $1,445.44 | Facility | None | $229.09 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $85.11 | $125.89 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $72.44 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $50.12 | $67.61 |
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 $12.02 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $12.02 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.94 | $11.22 | $11.22 |
Where New Mexico 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.
New Mexico· 50th of 51
$69.18
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.