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 $109.65 Median $154.88 Typical High $154.88 | Facility | None | $109.65 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $107.15 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $102.33 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $74.13 | $74.13 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $28.84 | $46.77 |
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 $39.81 Median $79.43 Typical High $117.49 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $39.81 | $79.43 | $117.49 |
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 $95.50 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $95.50 | $117.49 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $38.90 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $79.43 | $131.83 |
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 $70.79 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $70.79 | $109.65 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $38.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $41.69 | $72.44 | $100.00 |
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 $53.70 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $21.38 | $30.90 | $30.90 |
Where Alabama sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 37th of 51
$123
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.