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 $229.09 Median $346.74 Typical High $776.25 | Facility | None | $229.09 | $346.74 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $223.87 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $79.43 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $151.36 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $204.17 | Professional | None (both parts) | $60.26 | $60.26 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $45.71 | $70.79 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $467.74 | Facility | None | $457.09 | $467.74 | $467.74 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $64.57 Median $117.49 Typical High $186.21 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $64.57 | $117.49 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $467.74 | Facility | None | $251.19 | $251.19 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $204.17 | $239.88 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $69.18 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $169.82 | $309.03 |
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 $158.49 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $158.49 | $223.87 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $60.26 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $158.49 | $309.03 |
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 $114.82 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $45.71 | $54.95 |
Where Alabama sits
The same service costs 5.9 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· 38th of 51
$240
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.