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 $204.17 Median $501.19 Typical High $776.25 | Facility | None | $204.17 | $501.19 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $275.42 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $85.11 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $218.78 | $229.09 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $44.67 | $75.86 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $467.74 | Facility | None | $457.09 | $467.74 | $467.74 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $70.79 Median $114.82 Typical High $257.04 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $70.79 | $114.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $467.74 | Facility | None | $309.03 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $223.87 | $239.88 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $70.79 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $169.82 | $346.74 |
United Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | None | $204.17 | $213.80 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $190.55 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $190.55 | $316.23 |
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 $138.04 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $54.95 | $63.10 | $63.10 |
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· 31st of 51
$302
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.