How much rates vary
Facilitymedian $83 · 10th to 90th $52 to $117Professionalmedian $32 · 10th to 90th $23 to $48
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 $34.67 Median $47.86 Typical High $154.88 | Facility | None | $34.67 | $47.86 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $50.12 | Professional | None (both parts) | $31.62 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.91 Typical High $10.23 | Professional | 26 · Professional part | $6.03 | $8.91 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $38.90 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $39.81 | Professional | None (both parts) | $23.44 | $27.54 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $10.23 | Professional | 26 · Professional part | $5.01 | $5.01 | $10.23 |
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 $7.76 Median $30.20 Typical High $40.74 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $7.76 | $30.20 | $40.74 |
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 $27.54 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $27.54 | $32.36 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $6.61 | $7.76 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $24.55 | $46.77 |
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 $31.62 Typical High $40.74 | Professional | None (both parts) | $17.38 | $31.62 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.76 Typical High $9.77 | Professional | 26 · Professional part | $5.37 | $6.76 | $9.77 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $25.70 Typical High $30.90 | Professional | TC · Technical part | $12.02 | $25.70 | $30.90 |
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 $16.60 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $16.60 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $6.61 | $9.55 | $9.55 |
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 11.5 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· 42nd of 51
$34.67
VT $339FL $29.51
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.