How much rates vary
Facilitymedian $912 · 10th to 90th $676 to $1,950Professionalmedian $891 · 10th to 90th $661 to $5,754
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,000.00 Typical High $1,737.80 | Professional | None (both parts) | $812.83 | $1,000.00 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $363.08 | Professional | 26 · Professional part | $169.82 | $213.80 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $1,380.38 | Professional | TC · Technical part | $645.65 | $794.33 | $1,380.38 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $2,187.76 | Facility | None | $741.31 | $1,737.80 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,348.96 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,348.96 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $288.40 Typical High $309.03 | Professional | 26 · Professional part | $181.97 | $288.40 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,047.13 Typical High $1,202.26 | Professional | TC · Technical part | $707.95 | $1,047.13 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $794.33 Typical High $1,659.59 | Facility | None | $251.19 | $794.33 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,288.25 Typical High $5,754.40 | Professional | None (both parts) | $575.44 | $1,288.25 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $316.23 Typical High $1,445.44 | Professional | 26 · Professional part | $199.53 | $316.23 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $912.01 Typical High $4,677.35 | Professional | TC · Technical part | $371.54 | $912.01 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $691.83 Typical High $1,380.38 | Professional | None (both parts) | $512.86 | $691.83 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $190.55 | $234.42 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $1,071.52 | Professional | TC · Technical part | $316.23 | $446.68 | $1,071.52 |
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 $407.38 Median $501.19 Typical High $870.96 | Professional | 52 · Reduced service | $407.38 | $501.19 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $199.53 Typical High $346.74 | Professional | 53 · Discontinued | $162.18 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $151.36 Typical High $263.03 | Professional | 55 · Aftercare only | $123.03 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $100.00 Typical High $173.78 | Professional | 56 · Pre-op care only | $81.28 | $100.00 | $173.78 |
Where Kansas sits
The same service costs 9.1 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.
Kansas· 31st of 51
$891
AK $2,188KY $240
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.