How much rates vary
Facilitymedian $1,778 · 10th to 90th $891 to $7,079Professionalmedian $316 · 10th to 90th $195 to $1,585
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 $891.25 Median $891.25 Typical High $7,079.46 | Facility | None | $891.25 | $891.25 | $7,079.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,905.46 | Professional | None (both parts) | $891.25 | $891.25 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $407.38 | Professional | 26 · Professional part | $190.55 | $190.55 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | TC · Technical part | $707.95 | $707.95 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $194.98 | $229.09 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $309.03 | Professional | 26 · Professional part | $169.82 | $199.53 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $26.92 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,174.90 Typical High $2,187.76 | Professional | None (both parts) | $812.83 | $1,174.90 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $245.47 Typical High $416.87 | Professional | 26 · Professional part | $169.82 | $245.47 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $933.25 Typical High $1,659.59 | Professional | TC · Technical part | $645.65 | $933.25 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,148.15 Typical High $2,041.74 | Professional | None (both parts) | $812.83 | $1,148.15 | $2,041.74 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $245.47 Typical High $407.38 | Professional | 26 · Professional part | $169.82 | $245.47 | $407.38 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $912.01 Typical High $1,659.59 | Professional | TC · Technical part | $645.65 | $912.01 | $1,659.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $169.82 | $245.47 | $346.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $50.12 | $50.12 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $213.80 Typical High $251.19 | Professional | 26 · Professional part | $194.98 | $213.80 | $251.19 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,951.21 | Facility | None | $1,778.28 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,621.81 Typical High $3,388.44 | Professional | None (both parts) | $501.19 | $1,621.81 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $489.78 | Professional | 26 · Professional part | $181.97 | $229.09 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,445.44 Typical High $2,884.03 | Professional | TC · Technical part | $309.03 | $1,445.44 | $2,884.03 |
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 $446.68 Median $446.68 Typical High $1,000.00 | Professional | 52 · Reduced service | $446.68 | $446.68 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $398.11 | Professional | 53 · Discontinued | $181.97 | $181.97 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $295.12 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $199.53 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $199.53 |
Where Ohio 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.
Ohio· 49th of 51
$316
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.