How much rates vary
Facilitymedian $776 · 10th to 90th $776 to $4,467Professionalmedian $269 · 10th to 90th $170 to $1,202
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 $776.25 Median $776.25 Typical High $4,466.84 | Facility | None | $776.25 | $776.25 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Professional | None (both parts) | $776.25 | $776.25 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $354.81 | Professional | 26 · Professional part | $165.96 | $165.96 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | TC · Technical part | $616.60 | $616.60 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $169.82 | $199.53 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $141.25 | $165.96 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $26.92 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,023.29 Typical High $1,819.70 | Professional | None (both parts) | $707.95 | $1,023.29 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $363.08 | Professional | 26 · Professional part | $151.36 | $208.93 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $812.83 Typical High $1,412.54 | Professional | TC · Technical part | $562.34 | $812.83 | $1,412.54 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,000.00 Typical High $1,737.80 | Professional | None (both parts) | $707.95 | $1,000.00 | $1,737.80 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $354.81 | Professional | 26 · Professional part | $151.36 | $208.93 | $354.81 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $812.83 Typical High $1,380.38 | Professional | TC · Technical part | $562.34 | $812.83 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $141.25 | $204.17 | $288.40 |
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 $169.82 Median $186.21 Typical High $218.78 | Professional | 26 · Professional part | $169.82 | $186.21 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $933.25 Typical High $2,041.74 | Professional | None (both parts) | $407.38 | $933.25 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $416.87 | Professional | 26 · Professional part | $151.36 | $194.98 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $741.31 Typical High $1,621.81 | Professional | TC · Technical part | $251.19 | $741.31 | $1,621.81 |
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 $389.05 Median $389.05 Typical High $870.96 | Professional | 52 · Reduced service | $389.05 | $389.05 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $346.74 | Professional | 53 · Discontinued | $154.88 | $154.88 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $263.03 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $173.78 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $173.78 |
Where Ohio 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.
Ohio· 49th of 51
$269
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.