How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,000 to $4,467Professionalmedian $1,259 · 10th to 90th $933 to $6,607
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 $1,071.52 Median $1,071.52 Typical High $1,230.27 | Facility | None | $1,071.52 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,230.27 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $213.80 Typical High $257.04 | Professional | 26 · Professional part | $194.98 | $213.80 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $1,000.00 | Professional | TC · Technical part | $758.58 | $851.14 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,202.26 Typical High $1,862.09 | Professional | None (both parts) | $851.14 | $1,202.26 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $251.19 Typical High $371.54 | Professional | 26 · Professional part | $199.53 | $251.19 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $812.83 Typical High $1,318.26 | Professional | TC · Technical part | $691.83 | $812.83 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $346.74 | Professional | 26 · Professional part | $218.78 | $239.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $2,951.21 | Facility | None | $1,288.25 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,174.90 Typical High $2,089.30 | Professional | None (both parts) | $891.25 | $1,174.90 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $446.68 | Professional | 26 · Professional part | $194.98 | $251.19 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $933.25 Typical High $1,659.59 | Professional | TC · Technical part | $707.95 | $933.25 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,949.84 Typical High $4,466.84 | Facility | None | $691.83 | $1,949.84 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $6,606.93 Typical High $6,606.93 | Professional | None (both parts) | $1,071.52 | $6,606.93 | $6,606.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $1,737.80 Typical High $1,737.80 | Professional | 26 · Professional part | $213.80 | $1,737.80 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $2,630.27 Typical High $5,248.07 | Professional | TC · Technical part | $851.14 | $2,630.27 | $5,248.07 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,445.44 Typical High $2,630.27 | Professional | None (both parts) | $977.24 | $1,445.44 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $537.03 | Professional | 26 · Professional part | $194.98 | $251.19 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,174.90 Typical High $2,137.96 | Professional | TC · Technical part | $776.25 | $1,174.90 | $2,137.96 |
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 $478.63 Median $524.81 Typical High $616.60 | Professional | 52 · Reduced service | $478.63 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $213.80 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $141.25 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $107.15 Typical High $123.03 | Professional | 56 · Pre-op care only | $95.50 | $107.15 | $123.03 |
Where Missouri 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.
Missouri· 20th of 51
$1,259
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.