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 Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $120.23 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $25.12 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $95.50 | $95.50 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
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 $34.67 Median $112.20 Typical High $154.88 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $34.67 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $870.96 | Facility | None | $323.59 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $102.33 | $120.23 | $190.55 |
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 $79.43 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $87.10 | $162.18 |
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 $97.72 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $97.72 | $125.89 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $28.18 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $97.72 | $123.03 |
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 Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $27.54 | $27.54 |
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 3.5 times more in Alaska than in Texas. 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· 38th of 51
$135
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.