How much rates vary
Facilitymedian $955 · 10th to 90th $155 to $3,715Professionalmedian $71 · 10th to 90th $36 to $148
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 $97.72 Median $97.72 Typical High $190.55 | Facility | None | $97.72 | $97.72 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $97.72 | $97.72 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $64.57 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $60.26 | $70.79 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $43.65 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $26.92 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $93.33 | $125.89 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $83.18 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $31.62 | $42.66 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $93.33 | $125.89 | $173.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $83.18 | $114.82 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $42.66 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $15.49 | $33.11 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $67.61 | $83.18 | $97.72 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $51.29 | $60.26 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $36.31 | Professional | TC · Technical part | $25.12 | $30.90 | $36.31 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $3,715.35 | Facility | None | $478.63 | $1,122.02 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $194.98 | Professional | None (both parts) | $53.70 | $81.28 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $47.86 Typical High $120.23 | Professional | 26 · Professional part | $17.78 | $47.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $74.13 | Professional | TC · Technical part | $25.70 | $36.31 | $74.13 |
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 $14.45 Median $14.45 Typical High $28.18 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $19.05 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $19.05 |
Where Ohio 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.
Ohio· 49th of 51
$70.79
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.