How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $117Professionalmedian $32 · 10th to 90th $25 to $47
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 $33.88 Median $46.77 Typical High $154.88 | Facility | None | $33.88 | $46.77 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $31.62 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.22 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $11.22 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $38.02 | Professional | TC · Technical part | $23.44 | $35.48 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $22.91 | $29.51 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $13.18 | Professional | 26 · Professional part | $6.61 | $6.61 | $13.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $18.62 | $34.67 |
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 $31.62 Typical High $44.67 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $10.00 | $31.62 | $44.67 |
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 $26.92 Median $31.62 Typical High $52.48 | Professional | None (both parts) | $26.92 | $31.62 | $52.48 |
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 $21.88 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $21.88 | $21.88 | $41.69 |
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 $22.39 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $22.39 | $32.36 | $40.74 |
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 $23.44 Typical High $29.51 | Professional | TC · Technical part | $14.79 | $23.44 | $29.51 |
4 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 $16.22 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $16.22 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $6.46 | $9.33 | $9.33 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | 50 · Both sides | $42.66 | $42.66 | $60.26 |
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 13.5 times more in Vermont 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· 44th of 51
$34.67
VT $389FL $28.84
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.