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 Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $575.44 | Professional | None (both parts) | $93.33 | $154.88 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $371.54 | Professional | 26 · Professional part | $63.10 | $102.33 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $54.95 Typical High $199.53 | Professional | TC · Technical part | $31.62 | $54.95 | $199.53 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $851.14 | Facility | None | $457.09 | $457.09 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $218.78 | Professional | None (both parts) | $53.70 | $69.18 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $134.90 | Professional | 26 · Professional part | $27.54 | $41.69 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $85.11 | Professional | TC · Technical part | $21.38 | $28.84 | $85.11 |
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 $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Where West 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.
West Virginia· 40th of 51
$93.33
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.