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 Professional Modifier None (both parts) Typical Low $426.58 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $426.58 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $416.87 | $707.95 | $707.95 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $19.95 Median $338.84 Typical High $524.81 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $19.95 | $338.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $1,348.96 | Facility | None | $416.87 | $724.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $46.77 | $63.10 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $26.30 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $36.31 | $66.07 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $57.54 | $407.38 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $22.39 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $389.05 Typical High $512.86 | Professional | TC · Technical part | $37.15 | $389.05 | $512.86 |
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 Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $213.80 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $85.11 | $141.25 | $141.25 |
Where Alabama sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 30th of 51
$178
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.