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 $102.33 Median $102.33 Typical High $112.20 | Facility | None | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | TC · Technical part | $36.31 | $36.31 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $97.72 | $117.49 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $77.62 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $40.74 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $93.33 | $123.03 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $79.43 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $42.66 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $2,041.74 | Facility | None | $251.19 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $144.54 | Professional | None (both parts) | $53.70 | $85.11 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $17.38 | $44.67 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $42.66 | $64.57 |
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 $15.49 Median $15.49 Typical High $16.60 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $11.22 |
Where Nevada 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.
Nevada· 29th of 51
$102
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.