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 $309.03 Median $309.03 Typical High $309.03 | Facility | TC · Technical part | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $213.80 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $13.49 | $19.50 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $309.03 | $309.03 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $13.18 Median $158.49 Typical High $245.47 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $13.18 | $158.49 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $588.84 | Facility | None | $194.98 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $85.11 | Professional | None (both parts) | $40.74 | $56.23 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $16.98 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $39.81 | $204.17 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $11.75 | $14.45 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $27.54 | $194.98 | $371.54 |
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 $107.15 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $107.15 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $42.66 | $63.10 | $63.10 |
Where Alabama sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 25th of 51
$178
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.