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 $26.30 Median $38.02 Typical High $154.88 | Facility | None | $26.30 | $38.02 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $26.30 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $12.30 | Professional | 26 · Professional part | $8.13 | $11.75 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $27.54 | Professional | TC · Technical part | $18.20 | $26.30 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $21.38 Typical High $28.18 | Professional | None (both parts) | $18.20 | $21.38 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.41 Typical High $13.49 | Professional | 26 · Professional part | $6.61 | $7.41 | $13.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $14.79 Typical High $20.89 | Professional | TC · Technical part | $12.59 | $14.79 | $20.89 |
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 $14.45 Median $22.91 Typical High $42.66 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $14.45 | $22.91 | $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 $23.99 Median $28.84 Typical High $44.67 | Professional | None (both parts) | $23.99 | $28.84 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $10.23 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $28.84 | Professional | TC · Technical part | $16.22 | $18.62 | $28.84 |
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 $20.89 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $20.89 | $26.92 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $8.91 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $17.78 Typical High $23.99 | Professional | TC · Technical part | $13.80 | $17.78 | $23.99 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | XU · Unusual separate service | $21.38 | $21.38 | $21.38 |
Where Alabama sits
The same service costs 5.0 times more in Vermont than in New York. 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· 37th of 51
$30.90
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.