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 $30.90 Median $30.90 Typical High $194.98 | Facility | None | $30.90 | $30.90 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $28.18 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $20.89 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 26 · Professional part | $6.31 | $6.31 | $6.31 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $10.00 Median $27.54 Typical High $41.69 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $10.00 | $27.54 | $41.69 |
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 $25.12 Median $29.51 Typical High $46.77 | Professional | None (both parts) | $25.12 | $29.51 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $9.77 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.50 Typical High $37.15 | Professional | TC · Technical part | $19.05 | $19.50 | $37.15 |
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 $21.88 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $21.88 | $29.51 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $8.51 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.89 Typical High $26.30 | Professional | TC · Technical part | $14.79 | $20.89 | $26.30 |
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 $14.79 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $8.51 | $8.51 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 34th of 51
$35.48
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.