How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $141Professionalmedian $50 · 10th to 90th $39 to $72
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 $48.98 Median $67.61 Typical High $190.55 | Facility | None | $48.98 | $67.61 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $47.86 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $17.78 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $50.12 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $35.48 | $41.69 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $9.77 | $9.77 | $16.60 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $29.51 | $41.69 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $18.20 Median $48.98 Typical High $74.13 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $18.20 | $48.98 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $257.04 | Facility | None | $95.50 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $79.43 | Professional | None (both parts) | $39.81 | $46.77 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $17.78 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $28.84 | $60.26 |
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 $38.02 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $38.02 | $46.77 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $13.49 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $25.70 | $33.11 | $46.77 |
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 $23.99 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $23.99 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $13.80 | $13.80 |
Where Alabama sits
The same service costs 4.8 times more in Alaska 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
$56.23
AK $158UT $33.11
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.