How much rates vary
Facilitymedian $759 · 10th to 90th $182 to $1,479Professionalmedian $240 · 10th to 90th $170 to $891
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 $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $912.01 | Professional | None (both parts) | $758.58 | $776.25 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $169.82 Typical High $208.93 | Professional | 26 · Professional part | $165.96 | $169.82 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $616.60 Typical High $707.95 | Professional | TC · Technical part | $602.56 | $616.60 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $154.88 | $208.93 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $134.90 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $28.18 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $154.88 Median $630.96 Typical High $851.14 | Facility | None | $154.88 | $630.96 | $851.14 |
CareSource Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $134.90 | $204.17 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $218.78 Typical High $309.03 | Facility | 26 · Professional part | $46.77 | $218.78 | $309.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $812.83 Typical High $1,148.15 | Facility | TC · Technical part | $173.78 | $812.83 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,202.26 Typical High $4,466.84 | Professional | None (both parts) | $758.58 | $1,202.26 | $4,466.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $251.19 Typical High $891.25 | Professional | 26 · Professional part | $162.18 | $251.19 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $933.25 Typical High $3,548.13 | Professional | TC · Technical part | $588.84 | $933.25 | $3,548.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $158.49 | Professional | None (both parts) | $33.11 | $33.11 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $645.65 Typical High $1,778.28 | Professional | None (both parts) | $407.38 | $645.65 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $190.55 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $1,412.54 | Professional | TC · Technical part | $275.42 | $478.63 | $1,412.54 |
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 $380.19 Median $389.05 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 53 · Discontinued | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $131.83 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $77.62 Typical High $87.10 | Professional | 56 · Pre-op care only | $75.86 | $77.62 | $87.10 |
Where Kentucky 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.
Kentucky· 51st of 51
$240
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.