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 $501.19 Median $758.58 Typical High $1,000.00 | Facility | None | $501.19 | $758.58 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $501.19 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $630.96 | $812.83 | $812.83 |
BCBS Alabama Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $128.82 Median $371.54 Typical High $501.19 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $128.82 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $2,344.23 | Facility | None | $602.56 | $1,412.54 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,412.54 Typical High $2,290.87 | Professional | None (both parts) | $1,023.29 | $1,412.54 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $141.25 | $165.96 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,230.27 Typical High $2,041.74 | Professional | TC · Technical part | $1,047.13 | $1,230.27 | $2,041.74 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $309.03 | $501.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $199.53 | Professional | 26 · Professional part | $120.23 | $151.36 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $363.08 | $524.81 |
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 $346.74 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $141.25 | $177.83 | $177.83 |
Where Alabama sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 18th of 51
$891
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.