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 $85.11 Median $123.03 Typical High $123.03 | Facility | None | $85.11 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $87.10 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $83.18 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $20.89 | $20.89 | $26.30 |
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 $33.11 Median $64.57 Typical High $104.71 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $33.11 | $64.57 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $436.52 | Facility | None | $169.82 | $234.42 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $75.86 | $91.20 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $25.70 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $66.07 | $109.65 |
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 $53.70 Median $87.10 Typical High $117.49 | Professional | None (both parts) | $53.70 | $87.10 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $27.54 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $60.26 Typical High $83.18 | Professional | TC · Technical part | $33.88 | $60.26 | $83.18 |
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 $43.65 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $24.55 | $24.55 |
Where Alabama sits
The same service costs 3.8 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· 43rd of 51
$91.20
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.