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 $120.23 Median $194.98 Typical High $776.25 | Facility | None | $120.23 | $194.98 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $181.97 | $181.97 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $72.44 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $109.65 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $47.86 | $95.50 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $38.02 | $46.77 | $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 $58.88 Median $100.00 Typical High $151.36 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $58.88 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $275.42 | Facility | None | $194.98 | $194.98 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $158.49 | $186.21 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $57.54 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $131.83 | $245.47 |
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 $128.82 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $128.82 | $177.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $54.95 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $123.03 | $251.19 |
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 $91.20 Median $91.20 Typical High $125.89 | Professional | 52 · Reduced service | $91.20 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | 53 · Discontinued | $37.15 | $37.15 | $50.12 |
Where Alabama sits
The same service costs 6.2 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· 40th of 51
$182
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.