How much rates vary
Facilitymedian $977 · 10th to 90th $832 to $977Professionalmedian $1,230 · 10th to 90th $214 to $2,239
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 $977.24 Median $977.24 Typical High $1,047.13 | Facility | None | $977.24 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | None (both parts) | $977.24 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | 26 · Professional part | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | TC · Technical part | $776.25 | $776.25 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $1,513.56 Typical High $2,238.72 | Professional | None (both parts) | $213.80 | $1,513.56 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $229.09 Typical High $389.05 | Professional | 26 · Professional part | $144.54 | $229.09 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $1,071.52 Typical High $1,621.81 | Professional | TC · Technical part | $177.83 | $1,071.52 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,318.26 Typical High $3,019.95 | Professional | None (both parts) | $891.25 | $1,318.26 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $218.78 | $288.40 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,023.29 Typical High $2,454.71 | Professional | TC · Technical part | $676.08 | $1,023.29 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $9,549.93 | Professional | None | $1,318.26 | $1,479.11 | $9,549.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | 26 · Professional part | $223.87 | $275.42 | $398.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,174.90 Typical High $7,762.47 | Professional | TC · Technical part | $1,047.13 | $1,174.90 | $7,762.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $446.68 Typical High $1,995.26 | Professional | None (both parts) | $208.93 | $446.68 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $2,041.74 | Professional | None (both parts) | $354.81 | $660.69 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $346.74 Typical High $602.56 | Professional | 26 · Professional part | $213.80 | $346.74 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $1,778.28 | Professional | TC · Technical part | $131.83 | $245.47 | $1,778.28 |
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 $489.78 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $104.71 |
Where Georgia 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.
Georgia· 23rd of 51
$1,230
AK $3,020KY $269
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.