How much rates vary
Facilitymedian $105 · 10th to 90th $105 to $977Professionalmedian $115 · 10th to 90th $13 to $178
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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $12.88 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $12.88 | $89.13 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $446.68 | Facility | None | $13.18 | $16.98 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $70.79 | $128.82 | $199.53 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $95.50 | $120.23 | $165.96 |
11 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 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $117.49 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.72 Typical High $17.38 | Professional | TC · Technical part | $10.47 | $10.72 | $17.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $109.65 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $11.22 Typical High $15.49 | Professional | TC · Technical part | $8.51 | $11.22 | $15.49 |
Where Alabama sits
The same service costs 4.7 times more in Alaska than in Alabama. 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.
Alabama· 51st of 51
$105
AK $490AL $105
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.