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 $147.91 Median $204.17 Typical High $776.25 | Facility | None | $147.91 | $204.17 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $147.91 | $147.91 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $57.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $89.13 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $30.20 | $60.26 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $467.74 | Facility | None | $457.09 | $467.74 | $467.74 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $48.98 Median $87.10 Typical High $131.83 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $48.98 | $87.10 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $275.42 | Facility | None | $134.90 | $134.90 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $112.20 | $123.03 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $47.86 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $74.13 | $194.98 |
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 $91.20 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $91.20 | $141.25 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $41.69 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $56.23 | $83.18 | $194.98 |
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 $74.13 Median $74.13 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $29.51 | $39.81 |
Where Alabama sits
The same service costs 20.4 times more in Vermont 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· 37th of 51
$148
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.