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 $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $32.36 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $11.75 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $22.91 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $9.33 | Professional | 26 · Professional part | $6.61 | $6.61 | $9.33 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $13.80 Median $32.36 Typical High $51.29 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $13.80 | $32.36 | $51.29 |
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 $30.20 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $30.20 | $37.15 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $14.13 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $23.44 | $41.69 |
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 $26.92 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $26.92 | $32.36 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $10.23 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $22.91 | $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 $16.22 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $16.22 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $6.46 | $9.12 | $9.12 |
Where Alabama sits
The same service costs 3.6 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· 30th 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.