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 $120.23 Median $173.78 Typical High $173.78 | Facility | None | $120.23 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $120.23 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
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 $48.98 Median $91.20 Typical High $144.54 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $48.98 | $91.20 | $144.54 |
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 $107.15 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $107.15 | $131.83 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $38.90 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $93.33 | $151.36 |
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 $75.86 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $75.86 | $125.89 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $41.69 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $46.77 | $83.18 | $120.23 |
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 $61.66 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $34.67 | $34.67 |
Where Alabama sits
The same service costs 3.9 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· 25th of 51
$155
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.