How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $126Professionalmedian $46 · 10th to 90th $35 to $65
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 $44.67 Median $63.10 Typical High $81.28 | Facility | None | $44.67 | $63.10 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $67.61 | Professional | None (both parts) | $43.65 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $44.67 | Professional | TC · Technical part | $30.20 | $42.66 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $38.02 | Professional | None (both parts) | $30.20 | $35.48 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $11.48 | $22.91 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | TC · Technical part | $20.42 | $20.42 | $20.42 |
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 $23.99 Median $48.98 Typical High $81.28 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $23.99 | $48.98 | $81.28 |
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 $38.90 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $38.90 | $45.71 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $27.54 | Professional | 26 · Professional part | $15.14 | $17.78 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $28.18 | $53.70 |
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 $34.67 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $34.67 | $44.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $15.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $28.84 | $39.81 |
2 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 $21.88 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $21.88 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $8.71 | $12.59 | $12.59 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$48.98
AK $148UT $33.11
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.