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 $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $45.71 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $10.72 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $35.48 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
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 $14.13 Median $47.86 Typical High $67.61 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $14.13 | $47.86 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $117.49 Typical High $213.80 | Facility | None | $60.26 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $40.74 | $48.98 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $12.30 | $14.45 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $34.67 | $64.57 |
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 $33.88 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $33.88 | $47.86 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $12.02 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $23.99 | $35.48 | $45.71 |
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 $22.91 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $22.91 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $9.33 | $13.49 | $13.49 |
Where Alabama sits
The same service costs 4.5 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· 33rd of 51
$54.95
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.