How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $105Professionalmedian $24 · 10th to 90th $15 to $31
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 $19.50 Median $27.54 Typical High $27.54 | Facility | None | $19.50 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $27.54 Typical High $31.62 | Professional | None (both parts) | $19.95 | $27.54 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.00 Typical High $11.22 | Professional | 26 · Professional part | $6.76 | $10.00 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $17.78 Typical High $20.42 | Professional | TC · Technical part | $12.59 | $17.78 | $20.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.18 Median $15.49 Typical High $16.60 | Professional | None (both parts) | $13.18 | $15.49 | $16.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $9.55 | Professional | 26 · Professional part | $5.62 | $5.62 | $9.55 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $8.51 Typical High $10.00 | Professional | TC · Technical part | $8.51 | $8.51 | $10.00 |
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 $8.71 Median $21.38 Typical High $33.88 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $8.71 | $21.38 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $213.80 | Facility | None | $52.48 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.99 Typical High $38.02 | Professional | None (both parts) | $18.62 | $23.99 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $8.91 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $15.14 Typical High $26.30 | Professional | TC · Technical part | $12.88 | $15.14 | $26.30 |
United Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $138.04 | Facility | None | $100.00 | $104.71 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.95 Typical High $30.20 | Professional | None (both parts) | $17.38 | $19.95 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $10.96 | Professional | 26 · Professional part | $6.03 | $7.59 | $10.96 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.18 Typical High $20.42 | Professional | TC · Technical part | $10.96 | $13.18 | $20.42 |
3 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 $9.55 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $9.55 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $3.80 | $5.50 | $5.50 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 50 · Both sides | $125.89 | $125.89 | $125.89 |
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· 35th of 51
$24.55
AK $64.57FL $17.38
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.