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 $446.68 Median $630.96 Typical High $776.25 | Facility | None | $446.68 | $630.96 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $234.42 | $234.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $83.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $151.36 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $42.66 | $74.13 |
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 $67.61 Median $117.49 Typical High $190.55 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $67.61 | $117.49 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $467.74 | Facility | None | $309.03 | $309.03 | $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 $57.54 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $67.61 | $104.71 |
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 $46.77 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $58.88 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $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 $117.49 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $46.77 | $54.95 |
Where Alabama sits
The same service costs 5.5 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· 37th 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.