How much rates vary
Facilitymedian $186 · 10th to 90th $50 to $2,089Professionalmedian $91 · 10th to 90th $59 to $123
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 $85.11 Median $85.11 Typical High $102.33 | Facility | None | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $85.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $54.95 | $60.26 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $36.31 | Professional | TC · Technical part | $29.51 | $32.36 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $81.28 | $95.50 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $83.18 | $91.20 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $20.89 | $22.91 | $26.92 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $61.66 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $363.08 | Facility | None | $79.43 | $93.33 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $100.00 | $114.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $72.44 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $41.69 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $181.97 | Professional | None | $114.82 | $131.83 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $85.11 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $47.86 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $104.71 Typical High $1,479.11 | Facility | None | $38.90 | $104.71 | $1,479.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $18.62 Median $60.26 Typical High $147.91 | Professional | None (both parts) | $18.62 | $60.26 | $147.91 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $16.60 | $44.67 | $100.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $204.17 Median $1,023.29 Typical High $2,398.83 | Facility | None | $204.17 | $1,023.29 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $43.65 | $74.13 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $24.55 Typical High $53.70 | Professional | 26 · Professional part | $12.88 | $24.55 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $42.66 | $77.62 |
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 $12.59 Median $13.80 Typical High $15.49 | Professional | 55 · Aftercare only | $12.59 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.12 Typical High $10.23 | Professional | 56 · Pre-op care only | $8.51 | $9.12 | $10.23 |
Where Virginia 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.
Virginia· 36th of 51
$93.33
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.