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 $39.81 Median $56.23 Typical High $56.23 | Facility | None | $39.81 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $40.74 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $39.81 | $39.81 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
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 $12.30 Median $29.51 Typical High $41.69 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $12.30 | $29.51 | $41.69 |
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 $34.67 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $34.67 | $40.74 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $10.47 | $12.30 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $28.18 | $53.70 |
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 $33.11 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $33.11 | $39.81 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $9.12 | $12.02 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $27.54 | $41.69 |
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 $19.50 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $19.50 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $7.76 | $11.22 | $11.22 |
Where Alabama sits
The same service costs 3.9 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· 30th of 51
$51.29
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.