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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $28.18 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $7.08 | $10.47 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $20.89 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.13 |
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 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $7.94 Median $21.38 Typical High $29.51 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $7.94 | $21.38 | $29.51 |
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 $23.99 Median $28.18 Typical High $45.71 | Professional | None (both parts) | $23.99 | $28.18 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $9.12 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $37.15 | Professional | TC · Technical part | $18.20 | $19.05 | $37.15 |
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 $20.42 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $20.42 | $27.54 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $7.94 | $11.48 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.95 Typical High $26.30 | Professional | TC · Technical part | $13.80 | $19.95 | $26.30 |
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 $14.13 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $5.62 | $7.94 | $7.94 |
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 3.5 times more in Alaska 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· 33rd of 51
$33.88
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.