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 Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $33.11 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $8.32 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $25.12 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
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 $8.91 Median $25.70 Typical High $35.48 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $8.91 | $25.70 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $257.04 | Facility | None | $95.50 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $29.51 | $35.48 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $10.23 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $22.39 | $25.12 | $45.71 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.88 Typical High $44.67 | Professional | None (both parts) | $25.70 | $33.88 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $8.91 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $24.55 | $32.36 |
3 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 $16.60 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $16.60 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $9.77 | $9.77 |
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 3.9 times more in Alaska than in Florida. 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· 27th of 51
$42.66
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.