How much rates vary
Professionalmedian $1,479 · 10th to 90th $214 to $3,311
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 Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $208.93 Typical High $223.87 | Professional | 26 · Professional part | $199.53 | $208.93 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $870.96 Typical High $912.01 | Professional | TC · Technical part | $794.33 | $870.96 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $1,380.38 Typical High $2,691.53 | Professional | None (both parts) | $213.80 | $1,380.38 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $380.19 Typical High $549.54 | Professional | 26 · Professional part | $288.40 | $380.19 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,318.26 Typical High $1,659.59 | Professional | TC · Technical part | $933.25 | $1,318.26 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,412.54 Typical High $3,090.30 | Professional | None (both parts) | $1,148.15 | $1,412.54 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $281.84 Typical High $616.60 | Professional | 26 · Professional part | $229.09 | $281.84 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $2,511.89 | Professional | TC · Technical part | $933.25 | $1,148.15 | $2,511.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,137.96 Typical High $4,265.80 | Professional | None (both parts) | $1,230.27 | $2,137.96 | $4,265.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $588.84 | Professional | 26 · Professional part | $234.42 | $323.59 | $588.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,380.38 Typical High $2,818.38 | Professional | TC · Technical part | $933.25 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,570.40 Typical High $5,754.40 | Professional | None (both parts) | $1,479.11 | $2,570.40 | $5,754.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $354.81 Typical High $724.44 | Professional | 26 · Professional part | $223.87 | $354.81 | $724.44 |
United Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $2,238.72 Typical High $5,011.87 | Professional | TC · Technical part | $1,318.26 | $2,238.72 | $5,011.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $263.03 | Facility | 26 · Professional part | $162.18 | $190.55 | $263.03 |
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 $501.19 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $501.19 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $199.53 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $100.00 | $107.15 | $112.20 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$1,479
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.