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 $331.13 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $331.13 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $173.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | TC · Technical part | $263.03 | $263.03 | $288.40 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $660.69 | Facility | None | $645.65 | $660.69 | $660.69 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $147.91 Median $223.87 Typical High $380.19 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $147.91 | $223.87 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $2,398.83 | Facility | None | $467.74 | $602.56 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $2,398.83 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $281.84 | Professional | 26 · Professional part | $154.88 | $181.97 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,380.38 Typical High $2,089.30 | Professional | TC · Technical part | $1,174.90 | $1,380.38 | $2,089.30 |
United Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | None | $204.17 | $213.80 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $2,041.74 | Professional | None (both parts) | $281.84 | $346.74 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $229.09 | Professional | 26 · Professional part | $125.89 | $162.18 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $2,041.74 | Professional | TC · Technical part | $144.54 | $208.93 | $2,041.74 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Where Alabama sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 29th of 51
$562
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.