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 $501.19 Typical High $776.25 | Facility | None | $147.91 | $501.19 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $208.93 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $87.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $120.23 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $44.67 | $44.67 | $56.23 |
BCBS Alabama Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $64.57 Median $87.10 Typical High $169.82 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $64.57 | $87.10 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $275.42 | Facility | None | $190.55 | $190.55 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $169.82 | $204.17 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $128.82 | $234.42 |
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 $134.90 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $134.90 | $186.21 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $81.28 | $123.03 | $208.93 |
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 $104.71 Median $104.71 Typical High $138.04 | Professional | 52 · Reduced service | $104.71 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | 53 · Discontinued | $41.69 | $41.69 | $54.95 |
Where Alabama sits
The same service costs 5.8 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· 36th of 51
$204
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.