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 $275.42 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $186.21 | $186.21 | $218.78 |
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 $63.10 Median $93.33 Typical High $223.87 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $63.10 | $93.33 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $239.88 | $281.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $70.79 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $208.93 | $389.05 |
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 $186.21 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $186.21 | $269.15 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $61.66 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $199.53 | $389.05 |
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 $134.90 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Where Alabama sits
The same service costs 5.2 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
$282
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.