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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $32.36 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $11.22 | $11.22 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $10.96 | Professional | 26 · Professional part | $6.31 | $6.31 | $10.96 |
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 $9.77 Median $30.20 Typical High $41.69 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $9.77 | $30.20 | $41.69 |
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 $28.84 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $28.84 | $33.88 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $9.77 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $22.39 | $23.99 | $45.71 |
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 $21.88 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $21.88 | $33.11 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $8.51 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $14.79 | $24.55 | $30.90 |
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 $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 $6.61 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $6.61 | $9.55 | $9.55 |
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· 31st of 51
$40.74
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.