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 $10.96 Median $10.96 Typical High $24.55 | Facility | None | $10.96 | $10.96 | $24.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $9.12 | $13.49 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $10.96 Typical High $11.75 | Professional | TC · Technical part | $7.59 | $10.96 | $11.75 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.14 Median $20.42 Typical High $23.99 | Professional | None (both parts) | $15.14 | $20.42 | $23.99 |
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 $11.22 Median $16.60 Typical High $32.36 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $11.22 | $16.60 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $213.80 | Facility | None | $52.48 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $21.38 Typical High $34.67 | Professional | None (both parts) | $16.98 | $21.38 | $34.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $12.30 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $8.91 Typical High $19.95 | Professional | TC · Technical part | $7.94 | $8.91 | $19.95 |
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 $15.49 Median $19.50 Typical High $33.11 | Professional | None (both parts) | $15.49 | $19.50 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $10.23 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $8.71 Typical High $19.50 | Professional | TC · Technical part | $6.92 | $8.71 | $19.50 |
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 $8.51 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $8.51 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.39 | $4.90 | $4.90 |
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· 31st of 51
$24.55
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.