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 $134.90 Median $190.55 Typical High $190.55 | Facility | None | $134.90 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $134.90 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $93.33 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
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 $51.29 Median $117.49 Typical High $169.82 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $51.29 | $117.49 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $436.52 | Facility | None | $213.80 | $234.42 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $120.23 | $154.88 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $117.49 | $186.21 |
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 $77.62 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $77.62 | $141.25 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $44.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $91.20 | $147.91 |
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 $67.61 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $38.90 | $38.90 |
Where Alabama sits
The same service costs 4.3 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
$174
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.