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 $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $33.11 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $7.59 | $10.96 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $25.70 | $36.31 | $36.31 |
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 $8.32 Median $25.70 Typical High $34.67 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $8.32 | $25.70 | $34.67 |
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 $30.90 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $30.90 | $37.15 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $10.47 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $23.99 | $26.92 | $47.86 |
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 $26.30 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $26.30 | $33.11 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $8.32 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $24.55 | $35.48 |
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 $16.60 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $16.60 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $6.61 | $9.33 | $9.33 |
Where Alabama sits
The same service costs 3.7 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· 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.