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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $41.69 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $12.02 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $29.51 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
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 $13.80 Median $31.62 Typical High $45.71 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $13.80 | $31.62 | $45.71 |
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 $37.15 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $37.15 | $43.65 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $15.85 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $28.18 | $53.70 |
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 $33.88 Median $42.66 Typical High $56.23 | Professional | None (both parts) | $33.88 | $42.66 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $10.96 | $13.80 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $22.39 | $28.84 | $39.81 |
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 $20.89 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $20.89 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $8.32 | $12.02 | $12.02 |
Where Alabama sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 32nd of 51
$52.48
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.