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 None Typical Low $28.18 Median $28.18 Typical High $40.74 | Facility | None | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $27.54 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $8.51 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $19.05 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
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 $11.22 Median $25.12 Typical High $39.81 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $11.22 | $25.12 | $39.81 |
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 $25.70 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $25.70 | $30.90 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $11.75 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $35.48 | Professional | TC · Technical part | $18.20 | $19.05 | $35.48 |
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 $23.99 Median $28.84 Typical High $39.81 | Professional | None (both parts) | $23.99 | $28.84 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $10.00 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $27.54 | Professional | TC · Technical part | $15.85 | $19.05 | $27.54 |
2 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 $14.13 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $14.13 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.62 | $8.13 | $8.13 |
Where Alabama sits
The same service costs 3.8 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· 31st of 51
$36.31
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.