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 Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $138.04 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $117.49 | $154.88 | $154.88 |
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 $23.99 Median $107.15 Typical High $147.91 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $23.99 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $436.52 | Facility | None | $208.93 | $234.42 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $114.82 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $26.92 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $114.82 | $194.98 |
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 $81.28 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $81.28 | $138.04 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $19.05 | $23.44 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $114.82 | $144.54 |
3 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 Facility Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $37.15 | $37.15 |
Where Alabama sits
The same service costs 3.8 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· 31st of 51
$162
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.