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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,047.13 Typical High $1,071.52 | Professional | None (both parts) | $977.24 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $194.98 Typical High $208.93 | Professional | 26 · Professional part | $190.55 | $194.98 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $851.14 Typical High $870.96 | Professional | TC · Technical part | $794.33 | $851.14 | $870.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $173.78 | $173.78 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 26 · Professional part | $190.55 | $190.55 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,348.96 Typical High $3,019.95 | Professional | None (both parts) | $933.25 | $1,348.96 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $263.03 Typical High $575.44 | Professional | 26 · Professional part | $177.83 | $263.03 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,071.52 Typical High $2,454.71 | Professional | TC · Technical part | $758.58 | $1,071.52 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,348.96 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $2,344.23 Typical High $3,162.28 | Professional | None (both parts) | $457.09 | $2,344.23 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $398.11 Typical High $562.34 | Professional | 26 · Professional part | $162.18 | $398.11 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,905.46 Typical High $2,570.40 | Professional | TC · Technical part | $288.40 | $1,905.46 | $2,570.40 |
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 52 · Reduced service Typical Low $489.78 Median $524.81 Typical High $537.03 | Professional | 52 · Reduced service | $489.78 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $194.98 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $107.15 |
Where Washington, DC sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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.
Washington, DC· 36th of 51
$1,047
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.