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 $29.51 Median $42.66 Typical High $42.66 | Facility | None | $29.51 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $28.84 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $8.51 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.08 |
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 $10.00 Median $21.88 Typical High $31.62 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $10.00 | $21.88 | $31.62 |
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 $25.70 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $25.70 | $30.90 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $11.48 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $37.15 | Professional | TC · Technical part | $19.05 | $19.05 | $37.15 |
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 $25.12 Median $30.20 Typical High $42.66 | Professional | None (both parts) | $25.12 | $30.20 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $14.45 | Professional | 26 · Professional part | $7.94 | $10.00 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $28.84 | Professional | TC · Technical part | $16.98 | $19.95 | $28.84 |
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 $14.79 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $8.51 | $8.51 |
Where Alabama sits
The same service costs 3.5 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· 32nd of 51
$38.02
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.