How much rates vary
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 Professional Modifier None (both parts) Typical Low $27.54 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $27.54 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $7.59 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $19.95 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $12.30 | $13.80 |
BCBS Alabama Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $8.51 Median $21.38 Typical High $29.51 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $8.51 | $21.38 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $213.80 | Facility | None | $52.48 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $45.71 | Professional | None (both parts) | $24.55 | $28.84 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $7.94 | $9.33 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $19.05 | $36.31 |
United Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $138.04 | Facility | None | $100.00 | $104.71 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $28.18 Typical High $37.15 | Professional | None (both parts) | $19.50 | $28.18 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $12.02 | Professional | 26 · Professional part | $6.61 | $8.32 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $19.95 Typical High $25.70 | Professional | TC · Technical part | $12.02 | $19.95 | $25.70 |
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 Facility Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $8.32 | $8.32 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 50 · Both sides | $125.89 | $125.89 | $125.89 |
Where Alabama sits
The same service costs 4.1 times more in Alaska than in New York. 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· 29th of 51
$35.48
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.