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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $114.82 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $89.13 | $128.82 | $128.82 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $44.67 Median $131.83 Typical High $194.98 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $44.67 | $131.83 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $870.96 | Facility | None | $245.47 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $95.50 | $112.20 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $31.62 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $79.43 | $154.88 |
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 $67.61 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $67.61 | $114.82 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $27.54 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $87.10 | $107.15 |
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 $58.88 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $33.11 | $33.11 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 50 · Both sides | $263.03 | $263.03 | $263.03 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in New York. 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· 37th of 51
$132
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.