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 TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | TC · Technical part | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $38.02 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $10.47 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $26.92 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $34.67 | $40.74 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.13 |
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 $14.13 Median $39.81 Typical High $57.54 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $14.13 | $39.81 | $57.54 |
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 $33.88 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $33.88 | $39.81 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $12.30 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $26.92 | $50.12 |
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 $28.18 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $28.18 | $37.15 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $12.02 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $25.12 | $35.48 |
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 $19.05 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $19.05 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $7.59 | $10.72 | $10.72 |
Where Alabama sits
The same service costs 3.7 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· 28th of 51
$48.98
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.