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 $199.53 Median $501.19 Typical High $776.25 | Facility | None | $199.53 | $501.19 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $275.42 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $77.62 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $218.78 | $229.09 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $40.74 | $69.18 |
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 $64.57 Median $114.82 Typical High $251.19 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $64.57 | $114.82 | $251.19 |
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 $218.78 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $218.78 | $234.42 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $64.57 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $169.82 | $169.82 | $323.59 |
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 $245.47 Typical High $389.05 | Professional | None (both parts) | $186.21 | $245.47 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $56.23 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $186.21 | $316.23 |
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 $138.04 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $61.66 | $61.66 |
Where Alabama sits
The same service costs 4.4 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· 32nd of 51
$295
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.