How much rates vary
Facilitymedian $1,122 · 10th to 90th $646 to $1,288Professionalmedian $955 · 10th to 90th $550 to $5,754
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 Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $812.83 Typical High $831.76 | Professional | None (both parts) | $794.33 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $169.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $645.65 Typical High $660.69 | Professional | TC · Technical part | $630.96 | $645.65 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $2,511.89 | Facility | None | $891.25 | $912.01 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $912.01 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $218.78 Typical High $295.12 | Professional | 26 · Professional part | $194.98 | $218.78 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $707.95 | $794.33 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $1,288.25 | Facility | None | $645.65 | $1,122.02 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,000.00 Typical High $5,754.40 | Professional | None (both parts) | $524.81 | $1,000.00 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $389.05 Typical High $1,445.44 | Professional | 26 · Professional part | $165.96 | $389.05 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,380.38 Typical High $4,677.35 | Professional | TC · Technical part | $309.03 | $1,380.38 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $812.83 Typical High $1,737.80 | Professional | None (both parts) | $489.78 | $812.83 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $194.98 Typical High $346.74 | Professional | 26 · Professional part | $154.88 | $194.98 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $645.65 Typical High $1,380.38 | Professional | TC · Technical part | $295.12 | $645.65 | $1,380.38 |
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 $398.11 Median $407.38 Typical High $416.87 | Professional | 52 · Reduced service | $398.11 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $162.18 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $123.03 Typical High $125.89 | Professional | 55 · Aftercare only | $120.23 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $81.28 Typical High $83.18 | Professional | 56 · Pre-op care only | $79.43 | $81.28 | $83.18 |
Where Oklahoma 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.
Oklahoma· 24th of 51
$955
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.