How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $83Professionalmedian $31 · 10th to 90th $22 to $43
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 $30.90 Median $42.66 Typical High $42.66 | Facility | None | $30.90 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $47.86 | Professional | None (both parts) | $29.51 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $12.30 | Professional | 26 · Professional part | $7.59 | $10.72 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $34.67 | Professional | TC · Technical part | $21.88 | $32.36 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $32.36 | Professional | None (both parts) | $20.89 | $26.92 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $10.47 | Professional | 26 · Professional part | $6.03 | $6.03 | $10.47 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $26.30 | Professional | TC · Technical part | $18.20 | $23.44 | $26.30 |
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 $9.33 Median $30.20 Typical High $42.66 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $9.33 | $30.20 | $42.66 |
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 $25.70 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $25.70 | $30.20 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $10.47 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $19.95 | $38.02 |
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 $21.88 Median $30.90 Typical High $40.74 | Professional | None (both parts) | $21.88 | $30.90 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $8.32 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $14.79 | $22.39 | $28.84 |
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 $14.79 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $8.51 | $8.51 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | 50 · Both sides | $30.90 | $30.90 | $44.67 |
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 12.9 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
$32.36
VT $347FL $26.92
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.