How much rates vary
Facilitymedian $1,000 · 10th to 90th $107 to $2,630Professionalmedian $117 · 10th to 90th $71 to $1,023
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 $75.86 Median $91.20 Typical High $100.00 | Facility | None | $75.86 | $91.20 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $75.86 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $58.88 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $31.62 | $40.74 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $58.88 | Professional | None (both parts) | $17.38 | $17.38 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $245.47 Typical High $537.03 | Facility | None | $33.11 | $245.47 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $81.28 | $120.23 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $77.62 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $46.77 | Professional | TC · Technical part | $28.18 | $41.69 | $46.77 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $426.58 | $660.69 | $660.69 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $229.09 | $371.54 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $144.54 | Facility | None | $75.86 | $100.00 | $144.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $75.86 | $91.20 | $117.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $58.88 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $31.62 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $46.77 | Professional | None (both parts) | $40.74 | $42.66 | $46.77 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $114.82 Typical High $275.42 | Facility | None | $33.11 | $114.82 | $275.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $81.28 | $120.23 | $138.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $77.62 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $46.77 | Professional | TC · Technical part | $28.18 | $41.69 | $46.77 |
United Setting Facility Modifier None Typical Low $181.97 Median $1,348.96 Typical High $2,691.53 | Facility | None | $181.97 | $1,348.96 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $64.57 | $85.11 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $23.44 | $48.98 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $38.02 | $56.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
4 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 $11.22 Median $13.49 Typical High $17.38 | Professional | 55 · Aftercare only | $11.22 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.12 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.59 | $9.12 | $11.75 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.49 Typical High $17.38 | Professional | 55 · Aftercare only | $11.22 | $13.49 | $17.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.12 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.59 | $9.12 | $11.75 |
Where Texas 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.
Texas· 22nd of 51
$120
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.