How much rates vary
Facilitymedian $646 · 10th to 90th $603 to $661Professionalmedian $479 · 10th to 90th $331 to $851
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 $323.59 Median $524.81 Typical High $954.99 | Facility | None | $323.59 | $524.81 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $194.98 | Professional | 26 · Professional part | $141.25 | $169.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $309.03 | $309.03 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $229.09 | $489.78 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $79.43 | $134.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $660.69 | Facility | None | $645.65 | $660.69 | $660.69 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $162.18 Median $239.88 Typical High $478.63 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $162.18 | $239.88 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $933.25 | Facility | None | $489.78 | $602.56 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $954.99 | Professional | None (both parts) | $363.08 | $398.11 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $112.20 | $128.82 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $269.15 Typical High $758.58 | Professional | TC · Technical part | $245.47 | $269.15 | $758.58 |
United Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $562.34 | Facility | None | $407.38 | $416.87 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $1,122.02 | Professional | None (both parts) | $302.00 | $416.87 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $112.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $891.25 | Professional | TC · Technical part | $199.53 | $281.84 | $891.25 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Where Alabama sits
The same service costs 6.5 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· 35th of 51
$479
AK $1,318UT $204
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.