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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $25.70 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $9.55 | $13.49 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $16.60 | $22.91 | $22.91 |
BCBS Alabama Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $8.51 Median $28.84 Typical High $39.81 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $8.51 | $28.84 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $32.36 Typical High $48.98 | Professional | None (both parts) | $23.99 | $32.36 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $12.02 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $17.78 | $20.89 | $31.62 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $40.74 | $50.12 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $10.23 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $32.36 | $39.81 | $56.23 |
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 $12.59 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $12.59 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.13 | $7.24 | $7.24 |
Where Alabama sits
The same service costs 4.7 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· 35th of 51
$37.15
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.