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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $34.67 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $7.41 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $27.54 | $40.74 | $40.74 |
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 $7.59 Median $26.30 Typical High $35.48 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $7.59 | $26.30 | $35.48 |
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 $30.90 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $30.90 | $39.81 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $9.33 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $50.12 | Professional | TC · Technical part | $25.70 | $30.20 | $50.12 |
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 $19.50 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $19.50 | $35.48 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $7.59 | $11.48 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $28.18 Typical High $36.31 | Professional | TC · Technical part | $12.02 | $28.18 | $36.31 |
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 $17.38 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $17.38 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $6.92 | $10.23 | $10.23 |
Where Alabama sits
The same service costs 3.6 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· 27th of 51
$43.65
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.