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 $43.65 Median $60.26 Typical High $501.19 | Facility | None | $43.65 | $60.26 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $39.81 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $16.60 | Professional | 26 · Professional part | $10.00 | $14.45 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $45.71 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $52.48 | Professional | None (both parts) | $29.51 | $37.15 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $8.13 | $13.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $26.30 | $44.67 |
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 $10.72 Median $31.62 Typical High $43.65 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $10.72 | $31.62 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $117.49 Typical High $213.80 | Facility | None | $54.95 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $36.31 | $42.66 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.72 | $12.59 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $30.20 | $54.95 |
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 $32.36 Median $41.69 Typical High $56.23 | Professional | None (both parts) | $32.36 | $41.69 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $10.96 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $30.20 | $40.74 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | XU · Unusual separate service | $34.67 | $34.67 | $34.67 |
Where Alabama sits
The same service costs 11.7 times more in Vermont than in Utah. 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· 43rd of 51
$45.71
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.