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 $32.36 Median $46.77 Typical High $46.77 | Facility | None | $32.36 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $48.98 | Professional | None (both parts) | $31.62 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $10.23 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.70 Typical High $27.54 | Professional | None (both parts) | $21.88 | $25.70 | $27.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $14.13 | Professional | 26 · Professional part | $8.13 | $8.13 | $14.13 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $18.62 Median $40.74 Typical High $67.61 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $18.62 | $40.74 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $257.04 | Facility | None | $95.50 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $28.84 | $35.48 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $10.96 | $12.88 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $19.50 | $21.88 | $34.67 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $25.70 | $33.11 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $16.22 | Professional | 26 · Professional part | $9.12 | $11.22 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $16.60 | $21.88 | $29.51 |
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 59 · Distinct service Typical Low $23.44 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $23.44 | $27.54 | $27.54 |
Where Alabama sits
The same service costs 4.3 times more in Minnesota 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· 40th of 51
$36.31
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.